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.

Someone from the Aquatics team will get back to you within one week with an update to your request.