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Private Swim Lesson Inquiry
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Date of Request
*
Name of Swimmer:
*
Recreation Center Member
*
Yes
Westlake Resident (if not member)
Non Resident (if not member)
Private or Semi Private Lesson
*
Private
Semi Private (2 people)
Age of Swimmer (must be 5 years and older)
*
Parent's Name
*
Contact Phone Number
*
Email Address
*
Level of Ability of Swimmer
*
Beginner
Low
Medium
High
Training
Preferred Days & Times
*
Additional Notes:
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