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PRIVATE SWIM LESSON REQUEST Park South Request Private or Semi-Private Swim Lessons Participant's Name: Participant's Name: Participant's Age: Gender: Male Female Contact Person's Contact Information: Name of Contact Person: Email of Contact Person: Phone Number of Contact Person: Availability: Monday Tuesday Wednesday Thursday Friday Saturday Sunday We would like to find the best instructor for your needs, is there any additional information you would like us to know? Please Note: Private Lessons: Designed for all type of swimmers, it will be one-on-one learning environment Semi-Private Lessons: These lessons are beneficial for family members that prefer to work together Which lessons are you interested in? Desired Start Date: Which YMCA location are you requesting?