Directions for the Lesson Interest List

Hopefully you have taken the time to go through all the sections of the Pool/Swim Lessons. Most answers to questions can be found there. My hope is that I will have time to get back to you within 4-8 weeks. Sorry about the lag time but I usually only have time between swim lesson sets to really read and answer email.

Please copy the Interest Form below into your email, fill it out, and email it to Linda (SwimLessons@pccportorchard.org).

Swim Interest Form

If you want to ask questions, or get onto the wait list, please supply the following information if you can as it will help a lot: (copy and paste into an email, then fill in your answers works very well):

Date you are filing this out: _________________________________

• The student(s) name -
  
  
• Age(s) -
  
  
• Approximate Swim Level(s) - (Please look through our swim lesson level charts)
  
  
  
  
• What type of lessons:
  Private___
  Semi Private___
  
  
• Thinking about these times as what time you can have your swimmer at the pool and ready to get in the water:
  11:00, 11:30, 12 noon, 12:30, 1:00, 1:30, 2:00, 2:30, 3:00, 3:30, 4:00, 4:30, 5:00, 5:30
  
  
• Please mark what times each day they could make it:
  Mon -
  Tues -
  Wed -
  Thurs - 
  
  
• Knowing that kids often do sports and other extra-curricular activities, please let me know what months you are interested in at these days and times. This will give me an idea of when to get a hold of you if I have a space open. Also, if we are close to summer and you are interested in different days and times it might be best to fill out another sheet for just the summer months.
  Jan ___, Feb ___, March ___, April ___, May ___, June ___,
  July ___, Aug ___, Sept ___, Oct ___, Nov ___, Dec ___
  
  
• Contact Persons Name -
  
  
• E-mail Address -
  
  
• Cell Phone Number -
  
  
• Do you text? - Yes ___, No ___
  
  
• Alt Phone Number (if you prefer) -
  
  
• Parkwood Membership status:
  none ___
  full ___
  swim lesson only (this means you have been in our lessons before) ___
  
  
• Any other information you feel we would need to know -