Required fields are marked with asterisks (*)

Semi-Private Conversion Request

Registration Information

Please complete the form below in its entirety to help us assist you more efficiently. All participants and payers must have an e-PLAY account. Participants must have similar skill level (no more than one level apart). Form must be received 3 days or more before the first class starts. Privates, Semi-privates, and Group Privates are not recommended for Swimmer 7 or higher and Aquatic Leadership.

Submission Deadline - one week prior to your first day of lessons.

Course Information

Course Code

Pool

Time of Class

Participant #1

Full Name

Swim Level

Payer Full Name

Email Address

Participant #2

Full Name

Swim Level

Payer Full Name

Email Address

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