Private and Semi-Private Swim Lessons Request Form
Offered to ages 3 and up (including adults of any age).
Private lessons offer one-on-one instruction, while semi-private lessons include a group of 2 or 3 students of similar swimming levels and abilities. (Group must register together.)
Complete the form below to request private or semi-private lessons.
An Aquatics staff member will follow-up to finalize lesson times and match you with an available instructor.
Parent Name
*
First Name
Last Name
Parent Date of Birth
*
-
Month
-
Day
Year
Date
Parent Gender - Female or male must be indicated in order to rent a locker
*
Female
Male
Other
Prefer not to answer
Parent BGSU Affiliation:
*
BGSU Faculty/Staff
BGSU Student
Community Member - Not Affiliated
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Child - Participant 1 Name
*
First Name
Last Name
Child - Participant 1 Date of Birth
*
-
Month
-
Day
Year
Date
Child - Participant 1 Gender:
*
Female
Male
Other
Prefer not to answer
Child - Participant 2
Child - Participant 2 Name
First Name
Last Name
Child - Participant 2 Date of Birth
-
Month
-
Day
Year
Date
Child - Participant 2 Gender:
Female
Male
Other
Prefer not to answer
Child - Participant 3
Child - Participant 3 Name
First Name
Last Name
Child - Participant 3 Date of Birth
-
Month
-
Day
Year
Date
Child - Participant 3 Gender:
Female
Male
Other
Prefer not to answer
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Preferred Day of the Week and Lesson Time:
*
Private or Semi-Private
*
Private
Semi-Private (Groups must register at the same time.)
Goals you would like to accomplish during the lessons:
*
For semi-private lessons, if additional group members are from a different household, indicate name below:
Additional Comments
Submit
Should be Empty: