Respondent (Parent/Guardian)

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First name *

Last name *

Email *

Mobile *

Address *

City *

Country *

State/Province *

Zip/Postal code *

Other Parent/Guardian

First name

Last name

Email

Mobile

Swimmer (Participant/Child)

Ages 2 to adult

First name *

Last name *

Date of birth *

List previous swim experience and goals. Please include any additional information that you'd like for us to know about the swimmer. *

Skills Checklist

Use this checklist as a guide for beginner to intermediate swimmers.

Can go underwater Can float on stomach Can float on back Can surface to take a breath while swimming on front Can kick on back Can tread water Can swim 10 meters (on either front or back)

Scheduling Preferences

We greatly appreciate your flexibility with your availability, as it enables us to better accommodate your request. Please do not skip this section, and please select all availability. Popular spots are most likely waitlisted.

Tuesdays, Thursdays, and Fridays from 8 AM - 1 PM
Tuesdays from 5:15 - 7:15 PM
Saturdays from 8 AM - 12:30 PM
Sundays from 8 AM - 1 PM

Tuesday Evenings

Tuesday

515PM

545PM

615PM

645PM

Tuesday, Thursday & Friday Mornings

Tuesday

Friday

8AM

830AM

9AM

930AM

10AM

1030AM

11AM

1130AM

12PM

1230PM

Saturdays & Sundays

Saturday

Sunday

8AM

830AM

9AM

930AM

10AM

1030AM

11AM

1130AM

12PM

1230PM

Package Selection

Please select the package that you'd like. Please do not skip this section.

20 Minutes: Ages 2-3 only

30 Minutes: Ages 3+

45 & 60 Minutes: Ages 4+

20 Minutes

30 Minutes

45 Minutes

60 Minutes

4 Lessons

6 Lessons

8 Lessons

Lesson Type

Private Swim Lessons
Private swim lessons are one-on-one lessons.

Semi-Private Swim Lessons
Semi-private swim lessons are for two participants. This is a good option for siblings or friends that have similar skill levels. Participants must be at or near the same skill level to enroll in semi-private swim lessons.

Ages that pair well together are dependent on fine motor skill development. Progress will be hindered if swimmers are paired inappropriately. Ages that pair well together are 2-3 years old, 4-6 years old, 6-8 years old, and 8-12 years old.

Private lessons Semi-private lessons

Would you like for your swimmer to be paired with another student for semi-private lessons?

This option is available for those who want semi-private lessons, but do not have a partner. We will try our best to pair your swimmer with another student depending on enrollment.

Yes

Lesson Frequency

Would you like lessons to participate in weekly lessons or lessons every other week?

Weekly Bi Weekly

For multiple children - please indicate which package is going to each child.

Adaptive Swim Lessons

We are proud providers of adaptive swim lessons. Adaptive swim lessons are for students with disabilities. We teach all abilities at CVSS. We believe that everyone deserves an equal opportunity to learn how to swim and be safe around water.

Please let us know if your swimmer has a disability so we can plan accordingly. We do not turn students away.

My swimmer has a disability and needs adaptive instruction.