ANSWER THE QUESTION
1. Select number of Students*
12345
Student 1
Age*
6-8 Months10-12 Months12-18 Months19-23 Months2 Years2.5 Years3 Years3.5 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18-30 Years31-60 Years60+
Swimming Ability*
Complete BeginnerBeginner – Prior LessonsAdvanced BeginnerIntermediateAdvanced
Name
Student 2
Student 3
Student 4
Student 5
2. Lesson Frequency Per Week Desired: *
(3x per week recommended)
3. Your personal data
First and Last Name*
Phone*
Email Address*
QUESTIONNAIRE AND PRICELIST FOR YOU
4. Swimming pool information
Your Pool Type* Home PoolHousing Community PoolHotel PoolPublic PoolMembers Only Pool (country club, fitness center)No Pool (need instructors w/ Pool Access)Other Pool
Pool Address (or home address)
5. Your free time
When would you like to begin?
Date Available Until
6. What time of day are you available?
Available on weekdays Early Morning (6-8am)Mornings (8-12pm)Afternoon (12-3pm)Late Afternoon (3-6pm)Evenings (6-8pm)
Available on weekend Early Morning (6-8am)Mornings (8-12pm)Afternoon (12-3pm)Late Afternoon (3-6pm)Evenings (6-8pm)
7.Days of the Week Available
(check off as many as possible) MondayTuesdayWednesdayThursdayFridaySaturdaySunday
8. Your Adress
City
Zip Code
Adress
9. What is your goal for classes? What would you like to accomplish while working with us?
10.Additional Requests:
11. Where did you hear about us?
Swimming School Miami InstructorBarefootcare.comCraigslistCollage/ University Job BoardFriendGoogleJob Search SiteKjijiIndeedOther
8classes
10 classes
15 classes
8 classes
WHAT PACKAGE ARE YOU MOST INTRESTED IN?
30 Minutes, 8 classes – 410$30 Minutes, 10 classes – 465$30 Minutes, 15 classes – 670$45 Minutes, 8 classes – 475$45 Minutes, 10 classes – 550$45 Minutes, 15 classes – 810$60 Minutes, 8 classes – 555$60 Minutes, 10 classes – 640$60 Minutes, 15 classes – 930$
45 minutes, 8 classes – 515$45 minutes, 10 classes – 590$45 minutes, 15 classes – 870$60 minutes, 8 classes – 605$60 minutes, 10 classes – 690$60 minutes, 15 classes – 985$