Swim Lesson Inquiry

A cheerful child learning to swim in a pool during a sunny day, with a friendly instructor in the water, kids playing and enjoying their time, bright colors

Swim Lesson Interest Survey

Welcome to Jesslyn's swim lesson inquiry! This survey is designed to help us understand your child's needs and interests in swimming lessons. Whether your child is a beginner or looking to enhance their skills, we want to ensure that we cater to their specific requirements.

Please take a moment to fill out this interest form, which will assist us in scheduling lessons that suit your availability. Your responses will help us connect with you when spaces become available this summer.

  • Provide your child's age and experience level
  • Let us know your availability for lessons
  • Indicate how many children you want to enroll
10 Questions2 MinutesCreated by SwimmingStar217
Hi thanks for showing interest in Jesslyn's swim lessons! To show your interest please fill out this interest survey that will help me get to know your child and their needs! Please keep in mind that by filling out the interest form, it will NOT ensure that you will have swim lessons this summer, but will be a source for me to be able to contact you throughout the summer when there are spaces available in my schedule.
Hi thanks for showing interest in Jesslyn's swim lessons! To show your interest please fill out this interest survey that will help me get to know your child and their needs! Please keep in mind that by filling out the interest form, it will NOT ensure that you will have swim lessons this summer, but will be a source for me to be able to contact you throughout the summer when there are spaces available in my schedule.
What's your full name? (For me to reference back on and contact you)
How many children would you be interested in signing up for private swim lessons?
1
2
3
4
5
6
7
8
Other
Please Specify:
What age are your children or child?
4
5
6
7
8
9
10
11
12
Other
Please Specify:
Where are you located?
Glendora
Azusa
Covina
San Dimas
Other
Please Specify:
When is the earliest date that you would be able to start lessons?
What days, times, and weeks would you be available? (Please state as many availabilities to ensure swim lesson scheduling)
What experience has your child or children have with water and swimming?
Never been in a pool before
Is comfortable and interested in swimming
Swims comfortably with floaties
Scared and afraid of the water
Other
Please Specify:
What do you want me to help teach and instruct your child with?
Stroke technique and proper swimming (ex: the 4 strokes in swim freestyle, breastroke, backstroke, and butterfly)
Survival skills (ex: floating)
Introduction of the water and comfortability in the pool
Other
Please Specify:
Would you be able to provide a phone number for me to reach you?
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