Adult Swim Instruction

Hidden

Member #

0

Name

First Last

Age

Phone

Email

What programs are you interested in? Select all that apply.

Select All
Individual Swim Lessons
Group Swim Lessons
Clinics
Masters / Group Training
Private Workouts
Triathlons
Opportunities to Compete
Adult Learn to Swim Lessons

What time of day would you prefer your instruction ? Select all that apply.

Select All
Early Morning (6am-8am)
Mornings (8am-10am)
Mid-Day (11am-1pm)
Afternoons (2pm-5pm)
After Work (5pm-7pm)
Night (8pm-9pm)

What day of the week would you prefer instruction? Select all that apply.

Select All
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

How would you categorize your previous experience?

I am unable to swim / I am not comfortable in water and would like to work on comfort and being able to swim
Adult Learn to Swim (ALTS) - I am working on being able to float, tread water, and swim independently and would like to improve.
Lap swimmer / I can swim independently
I train independently / group (i.e. Masters/triathlon/open water/etc.

Do you have any goals/hopes for progressing in your swimming ability? (Short answer)

Do you have any interest in Adaptive Aquatics, which is exercise designed for any and all disability types that previously limited your ability to participate in exercise?

YES
NO
UNDECIDED

Any additional comments or suggestions?