Private & Semi-Private Lesson Request

We are pleased you are contacting The Geneva Lakes Family YMCA for your private or semi-private lesson swim needs. We want to provide a quality program that meets your personal swim goals so please take a moment to complete this form. Once you submit this document at the end, it will be sent directly to our Aquatics Director to review and follow-up with you. Please give us up to 48 hours to respond. We look forward to talking with you! Thank you!
Parent First Name
Parent Last Name
Parent Phone (xxx-xxx-xxxx)
Parent Email
Are you a:	Member Community Participant
Swimmer's Name
Swimmer's Age
Second Swimmer's Name (if applicable)
Second Swimmer's Age: (if applicable)
Goal for lesson:
Days available:	Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Desired start time:
How did you hear about the Semi Private/Private Lesson program?