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Wildlife Water School, LLC
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Swimmers' with Disabilities
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Sign-Up Wilmerding
Sign Up- Your Pool
New Availability
Times/Prices/Dates
Session #11 Wilmerding
Session #12 Wilmerding
Session #1 Safari
Our Policies
Updates
Lesson Sign-Up Form
Your House
Your House
First Name
Email
Relationship to the swimmer (s)
Last Name
Phone
Address of Pool
Swimmer (s) name(s) and age (s)
What is your availability? Please pick multiple
Monday Mornings
Monday Afternoons
Tuesday Mornings
Tuesday Afternoons
Wednesday Mornings
Wdnesday Afternoons
Thursday Mornings
Thursday Afternoons
Friday Mornings
Friday Afternoons
What area is closet to you?
Irwin
North Huntingdon
Penn Hills
Murrysville
Monroeville
Penn Trafford
Bethel park
Wexford
Butler
Mt. Washington
Greensburg
West Mifflin
Cranberry
Plum
White Oak
Mckeesport
Do you have flexibility in your schedule to move possible lessons times ? Yes/No
Choose an option
What type of lessons?
Private Lessons
Double Lessons
Sibling Group Lesson
Please specify if you have multiple children that need different lessons
Please describe your swimmers' swimming ability
Does the swimmer(s) have any disabilties? Please describe in detail
Any comments/questions/concerns?
Any allergies/health conditions to ensure the safety of everyone?
How would you like us to approach crying during a lesson?
Does the swimmer(s) have any specific fears of the water? Please explain
What teaching methods work best?
Would you be willing to sign a liability contract?
Choose an option
Length of lesson?
Choose an option
What animal levels' page is the swimmer (s)? Please refer to levels to estimate. This must be answered for each swimmer.
We will get back to you
about
openings!
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