IF YOU ARE INTERESTED IN ADULT LESSONS for the SUMMER of 2024,
please copy and paste this form to an email, fill it out, and send it to me at wendy4swim@aol.com. Please put
"Adult Lessons" in the subject line.
NAME:
AGE:
ADDRESS:
PHONE:
Do You Have Access to a POOL? Apartment__________________Home________________Other_________________
MY SWIMMING ABILITY: (PLEASE ANSWER YES OR NO)
I am a complete beginner_____ I am afraid of the water_____ I am afraid
to put my head under water_____ I can float on my front_____
I can float on my back_____ I can tread water( keep my
head above water for one minute) _____ I can go to the bottom of a pool (8 feet)_____
I can exhale underwater (blow bubbles)_____
I know the basics of: Freestyle______ Elementary back stroke______
Breast Stroke_____ Back Crawl Stroke_______ Butterfly_____
Side Stroke __________
TELL ME A LITTLE BIT ABOUT YOUR FEELINGS AND EXPERIENCE WITH SWIMMING:
TIMES THAT I AM AVAILABLE FOR LESSONS: Classes are scheduled by appointment and instructor availability
Please specify all days and times that you would be able to schedule a class.