Private Swim Lesson & Personal Water Fitness Request Form
Please fill in the participant information form below. Fields marked with a red star are mandatory.
Have questions along the way? See the Frequently Asked Questions section.
Participant's Name
Address
Participant/Parent/Guardian Phone
Participant Date of Birth
Participants must be at least 4 years old
Parent/Guardian Name
Participant/Parent/Guardian Email
STEP 1: What goals need worked toward in a session?
Please be detailed with your description
STEP 2: Choose your setting.
Max. 2 participants per half hour. Need additional information? See the Frequently Asked Questions.
Private Swim Lessons
Personal Water Fitness
STEP 3: Choose your instructor based on their availability from previous page.
Instructor profiles can be viewed at NorwalkRec.com/private-swim-lessons
Alyssa B
Brianna M
Carissa L
Catie H
Cynthia F
Kathy T
Kristi C
Other Instructor (Pending Approval)
STEP 4: Review the policies.
Dismissal Policy: If a participant fails to show up twice for lessons without adequate notice, it will be assumed that the lessons are no longer needed and any lessons scheduled will be cancelled without refund If a participant fails to complete all of their lessons within a 3 month period (unless the issue is due to a medical or family emergency), no refund or credit will be issued If a participant is late to a lesson, they will be charged the full amount, even if the lesson has to be shortened due to the tardiness. Some instructors set up lessons back to back or even leading up to public group lessons, please be considerate of their time
By checking this box you agree to the full policies for Private Swim Lessons as they appear in the document on the previous page.
SUBMIT THE LESSON REQUEST FORM