ANSWER THE QUESTION

    1. Select number of Students*

    Student 1

    Age*

    Swimming Ability*

    Name

    Student 1

    Age*

    Swimming Ability*

    Name

    Student 2

    Age*

    Swimming Ability*

    Name

    Student 1

    Age*

    Swimming Ability*

    Name

    Student 2

    Age*

    Swimming Ability*

    Name

    Student 3

    Age*

    Swimming Ability*

    Name

    Student 1

    Age*

    Swimming Ability*

    Name

    Student 2

    Age*

    Swimming Ability*

    Name

    Student 3

    Age*

    Swimming Ability*

    Name

    Student 4

    Age*

    Swimming Ability*

    Name

    Student 1

    Age*

    Swimming Ability*

    Name

    Student 2

    Age*

    Swimming Ability*

    Name

    Student 3

    Age*

    Swimming Ability*

    Name

    Student 4

    Age*

    Swimming Ability*

    Name

    Student 5

    Age*

    Swimming Ability*

    Name

    2. Lesson Frequency Per Week Desired: *


    3. Your personal data

    QUESTIONNAIRE AND PRICELIST FOR YOU

    4. Swimming pool information



    5. Your free time



    6. What time of day are you available?



    7.Days of the Week Available


    8. Your 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?

    30 MINUTES

    8classes


    410$

    10 classes


    465$

    15 classes


    670$

    45 MINUTES

    8 classes


    475$

    10 classes


    550$

    15 classes


    810$

    60 MINUTES

    8 classes


    555$

    10 classes


    640$

    15 classes


    930$

    WHAT PACKAGE ARE YOU MOST INTRESTED IN?

    45 MINUTES

    8 classes


    515$

    10 classes


    590$

    15 classes


    870$

    60 MINUTES

    8 classes


    605$

    10 classes


    690$

    15 classes


    985$

    WHAT PACKAGE ARE YOU MOST INTRESTED IN?