Private Swim Lessons At Kemmerling Pool - Roselle Park District
Private Swim Lessons At Kemmerling Pool - Roselle Park District
Private Swim Lessons At Kemmerling Pool - Roselle Park District
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<strong>Private</strong> <strong>Swim</strong> <strong>Lessons</strong><br />
<strong>At</strong> <strong>Kemmerling</strong> <strong>Pool</strong><br />
Name of swimmer: ____________________________________________<br />
Contact name (if different than swimmer): __________________________<br />
Phone number: _______________________________________________<br />
Please summarize any swimming experience the swimmer has:<br />
____________________________________________________<br />
____________________________________________________<br />
Please list the goals that the swimmer would like to achieve through<br />
lessons: _____________________________________________________<br />
____________________________________________________________<br />
Please list your day and time preferences for swim lessons:<br />
1 st choice ______________ __________________<br />
Day<br />
Time<br />
2nd choice ______________ __________________<br />
Day<br />
Time<br />
3rd choice ______________ __________________<br />
Day<br />
Time<br />
Are you interested in private or semi-private lessons? Circle One: P<br />
S-P*<br />
*If you are interested in semi-private lessons, please indicate the names of<br />
the other swimmers in your group here:<br />
____________________________________________________<br />
____________________________________________________<br />
Thank you for your interest. An instructor will be in contact with you<br />
after June 1st.<br />
<strong>Roselle</strong> <strong>Park</strong> <strong>District</strong><br />
555 W. Bryn Mawr Avenue, <strong>Roselle</strong>, IL 60172<br />
Office Phone: 630/894-4200
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