Fitness

Personal Information:

* Name:

Name of Swimmer: Age of Swimmer:

* Phone #: E-mail:

Instructor(s) of choice is(are):
(click here to see a list of available instructors)

I'm not sure which instructor is right for me , but I prefer:
male female.

Swim Habits:

I prefer to swim:

early mornings (6:00 - 10:00am)
late mornings (8:00am - 12:00pm)
early afternoons (11:00am - 3:00pm)
late afternoons (3:00 - 6:00pm)
evenings (5:00 - 8:00pm)

I prefer to swim on:

Number of days/week:
1 2 3 4 5 6 7

What date would you like to start?

Current Swimming Level:
Level 1 - Cannot swim at all. Will not get face wet. Fear of the water.
Level 2 - Cannot swim, but loves the water.
Level 3 - Can swim on the surface or underwater. Ready to begin learning strokes.
Level 4 - Can swim 10 yards on front and back. Learning stroke basics.
Level 5 - Ready to learn stroke technique.
Level 6 - Ready to learn advanced swimming skills, including butterfly, turns, and endurance swimming.