Private Swim Lesson Request (Ages 3 years old and older)

Select Class Type: Individual (1)Sibling (2)Semi-Private (2 not related)Make Your Own Group (3 or more)

Select a Package: 5 lessons10 lessons15 lessons

Payment Options: House ChargeOther

Parent's Name: Phone:

Email: Club Id:

Participant 1's Name: Participant 1's Age:
Participant 2's Name: Participant 2's Age:
Participant 3's Name: Participant 3's Age:
Participant 4's Name: Participant 4's Age:

Child Swim Level: OysterTurtleOtterPlatypusPiranha
Adult Swim Level: BeginnerIntermediateAdvancedTri Training

Days & Times Available for Instruction:
First Choice:
Second Choice:
Third Choice:

Desired Start Date: YYYY-MM-DD

Have you taken swim instruction at HTSW before? yesno

Do you have an instructor preference?

Please review our Private Swim Lesson Policies & provide your signature and date below:

ď‚·Check-in Policy

  • Non-Member Program Participants will receive a HTSW Program Card which must be presented during check-in at the Front Desk upon entering the club. There is a $10 replacement fee in the event that the card is lost.
  • Minor children should have an adult accompany them during check-in.
  • Parents are invited to attend and observe on the pool deck.
  • For the safety of your children, we ask that all children refrain from entering the pool until the instructor is ready.
  • When entering the pool area, you must remove your shoes or wear HTSW provided shoe
  • Participant must be on membership to receive member rates.
  • Nonmembers do not have club privileges.
  • Payment Policy

  • Payment for swim lessons is due at the time of making the reservation.
  • All Sessions are priced per individual at 30 minute instruction durations.
  • Cancellation Policy

  • Cancellation for Individual Swim Instruction must be received 24 hours prior to lesson. Cancellations inside of 24 hours will result in deduction of one session from package.
  • Cancellation for Sibling, Semi-Private or Group will result in deduction of one session from package for those not attending.

    Refund Policy

  • Swim Lesson Packages are non-refundable.
  • Lessons can be transferred to other immediate family members.
  • All Swim Lesson Packages expire 6 months from the date of purchase.
  • I have read and agree to abide by the above polices as they apply to Swim Instruction.

    Signature: Date: YYYY-MM-DD

    Thank you for using HealthTrack Sports Wellness for your swim instruction needs. Please allow 48 hours for a follow up call by a HTSW Aquatic Staff Member to begin selecting mutually agreeable session dates. Question, please contact Jami Omachel, Aquatics Director at 630-942-9600 (x570).