First Name
Last Name
Email
Phone
Which YMCA family center would you like to take lessons?
Please select...
Downtown Orlando
Dr. P. Phillips
Frank DeLuca (Ocala)
Golden Triangle (Taveres)
J. Doulgas Williams (Lake Mary)
Lake Nona
Leonard & Marjorie Williams Family YMCA (Packing District)
Osceola County (Kissimmee)
Oviedo
Roper (Winter Garden)
South Orlando
Titusville
Wayne Densch (Pine Hills)
Winter Park
Which type of Private Lessons are you interested in?
Adaptive Private Swim Lessons (specialized for all abilities)
Private Swim Lessons (one-on-one)
Semi-Private Swim Lessons (two or more in your group)
Which package are you interested in?
Single Package of 8 private swim lessons (2x per week)
Commitment Package (monthly bank draft) of 4 lessons per month (1x per week)
Commitment Package (monthly bank draft) of 8 lessons per month (discounted rate for 2x per week)
What are your preferred days?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturady
Sunday
What time of the day do you prefer?
Mornings
Afternoons
Evenings
Are you currently a YMCA member?
Yes, I'm a member.
No, I'm not a member.
Swim Participant Age:
Additional Notes (anything we should know about your swimmer’s comfort level, concerns, or past experience):
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