Private swim lesson request

The Parker Recreation Center offers private swimming lessons (for ages 3 years and up) based on your availability and our swim instructor availability. Please input your information into this form along with the days/times you are available. Filling out this form will add you to the wait list for private/semi-private swim lessons. Once this request is received, you will be on the waitlist.

For group swimming lessons, please visit www.parkerrec.com.

Once an instructor is available, you will be contacted directly by that instructor. Once you are confirmed, you can purchase one of the following swim lesson packages at the Parker Recreation Center Front Desk (1st day of lesson). Each lesson is 30 minutes in length. Private and Semi Private Lessons expire 2 years from the purchase date.
Required

Email address

Primary contact name

Primary contact phone number

Participant name

Participant age

Second participant name (if semi-private)

Second participant age (if semi-private)

Skill level








Personal goals for private lessons

How many lessons would you like?



What times are you available?

Please select all that apply
 MorningMidday (11am-2:30pm)AfternoonEvening
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Additional notes

A copy of your responses will be emailed to the address you provided.

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