Pinedale Aquatic Center

Lesson Request

Welcome to the Pinedale Aquatic Center’s Private Swim Lesson portal. Please input the information below, and we will match you with an instructor as soon as possible. Please allow for 72 hours for us to respond to you. Depending on instructor availability, we will do our best to match you with an instructor who accommodates your needs and schedules. We are better able to field requests that have open availabilities, especially on evenings and weekdays.

For group requests, be sure to add all the participants that will be in the group and that they are of similar skill level.

* Required

Primary Contact Information

First Name *

Last Name *

Primary Phone Number *

Secondary Phone Number

Email *

Preferred Contact Method

Participant Information

First Name *

Last Name

Gender *

Age *

Skill Level *

REMOVE PARTICIPANT

ADD PARTICIPANT

Preferences

Location

Special Accommodations or Requests

Objectives

General Availability

Please mark the times of the day you are generally available for lessons week to week

	AM	AFTN	PM	Morning	Afternoon	Evening
S	Sunday
M	Monday
T	Tuesday
W	Wednesday
R	Thursday
F	Friday
S	Saturday

Packages

Select Available Package *