2. 
4. Private Swim Lessons
   Please fill out the form below and our team will contact you about scheduling swim lessons.
6. Participant's Name
7. Participant's Age
9. What skill level would you consider the participant?
   -- Select One --Beginner (Not capable of swimming independently or without a flotation device.)Intermediate (Can swim independently. Could jump off a diving board or its equivalent without assistance.)Advanced (Knows how to swim freestyle and backstroke and is looking to refine skills.)Pre-CompetitiveSwim Team
11. Are there any special considerations that the program coordinator should be aware of?
13. Are you seeking a specific instructor?
15. Your Details & Contact Information
17. First Name
18. Last Name
20. Relation to the Participant
22. Are you a Liberty Community Center Member?

    1. Yes
    2. No
24. Phone Number
25. Email Address
Leave This Blank:


27. Submit

* indicates a required field