top of page
Wildlife Water School, LLC
Home
Who We Are
About the Owner
Social Media
Swimmers' with Disabilities
Lessons
Levels
Our Facility
Forms
Sign-Up
Sign-Up Wilmerding
Sign up-Belle Vernon
Sign-Up Greensburg
Sign Up- Your Pool
Times/Prices/Dates
Session #18 Wilmerding
Session #18 Belle Vernon
Session #18 Greensburg
Session #1 Safari
Our Policies
Lesson Sign-Up form
Wilmerding
First Name
Email
Last Name
Phone
Relationship to the swimmer (s)
Swimmer (s) name(s) and age (s)
What is your availability? Please pick multiple
*
Required
Sundays 4-5 pm
Sundays 5-6pm
Sundays 6-7pm
Sundays 7-8pm
Do you have flexibility in your schedule to move possible lessons times ? Yes/No
Choose an option
What type of lessons are you intereted in? What session?
*
Required
Private Lessons
Double Lessons
Mommy/Daddy and Me Lessons
Group Lessons
Sibling Group Lesson
Toddler Class
Stroke Improvement Class
I am open to Greensburg too!
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
Specific Instructor Request? You can choose multiple!
Miss Vicky
Miss Ads
Miss Lydia
Miss Kayla
Miss Adi
Miss Maura
Anyone
Miss Marlee
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!
Submit
bottom of page
