Swim Form - Permission Form

Contact Info

What type of lesson?
Preferred Time

Pricing

Private Lessons:
Trial Lesson: $40 (Member)/ $55 (Non-Member)
5 Lessons: $175 (Member)/ $325 (Non-Member)
10 Lessons: $325 (Member)/ $600 (Non-Member)

Semi-Private Lessons:
Trial Lesson: $25 (Member)/ $35 (Non-Member)
5 Lessons: $130 (Member)/ $165 (Non-Member)
10 Lessons: $250 (Member)/ $315 (Non-Member)

*must have 2 swimmers in order for the session to run

Swimmer Information

Swim Team Interest (Only applicable for 6+)-
Will Your Child be registered in early childhood and swimming during school hours

Private Swim/Group Lesson/Swim Team Dismissal Permission Slip

Children registered for private swim, group lessons and swim team programs will be signed out of the Early Childhood Center or Kidsplace by a member of the Aquatics Staff.

I give permission for my child to be signed-out of the Early Childhood Center or Kidsplace by a member of the SYJCC Aquatics Staff.  If I am not there to pick up my child at the end of his/her lesson/team practice, the SYJCC Aquatics Staff member will return my child to the Early Childhood Center or Kidsplace.