PRIVATE SWIM LESSON REQUEST
PROCEDURE FOR REGISTRATION
 September 4 - December 31
This is a request for Private Swim Lessons only.  Private lessons are not guaranteed. Lessons
are subject to instructor availability.  This request will be passed on to an instructor who will then
contact you for scheduling.  You will be notified ONLY if lessons are possible.  Lessons must be
scheduled during our public swim hours.  Lessons may not be scheduled during our group lessons.
Once a private lesson is scheduled you must pay for the lesson at least 48 hours prior to the
first scheduled lesson. 
Private lessons may be paid for in one of two ways.  You may pay for a group of five lessons or
may pay as you go.  If you prefer to pay as you go, you must pay a non refundable deposit equal
to the cost of your lesson.  For example, for a single student the first class would be $35 plus a
deposit of $35 for a total of $70.  You may use your deposit for your last lesson.  The deposit or
advance payment will be forfeited for any missed class unless you give the instructor 24 hours notice.
We accept cash, checks, or credit cards (Visa or Mastercard).  Checks should be made payable
to Dynamo Swim Center.
COST OF LESSONS
# of students in class length of class price of class
1 30 minutes $35
1 45 minutes $53
1  1 hour $70
2 30 minutes $45
2 45 minutes $65
2  1 hour $85
3 30 minutes $55
3 45 minutes $75
3  1 hour $100
Student Name ______________________________________________ Student Age _____________
Goals for Lessons _______________________________________________________________
Parent's Name _________________________________________ Phone # _________________
Date Form Completed _____/_____/_____ Instructor requested, if any?_____________________
PLEASE CIRCLE THE BEST TIME OF DAY FOR A LESSON.  EXACT TIME ARRANGED WITH INSTRUCTOR.
Monday and Wednesday  9:15AM-9:45AM    11:15AM -12:45PM     8:15PM - 9:30PM
Tuesday and Thursday 11:15AM -12:45PM     7:45-9:30  
Friday 10:00AM - 3:30PM
Saturday   3:15PM -5:00PM Lessons must be completed
Sunday   9:30AM - 2:00PM by the time indicated.
Private Lesson Refund Policy
NO REFUNDS ARE OFFERED FOR PRIVATE LESSONS.
Your lessons are booked in advance and your time is reserved.