Home2026 HIGH DESERT SWIM PROGRAM REGISTRATIONSUMMER ACCELERATED PROGRAM REVIEWSADULT SWIM LESSON REGISTRATIONCLASSESCONTACT INFODROWNING STATISTICSMY PHILOSOPHY and WHAT TO EXPECTMeet Miss WendyPhoto GalleryVideosParent's Pics and TESTIMONIALS

IF YOU ARE INTERESTED IN ADULT LESSONS for the SUMMER of 2025, please copy and paste this form to an email, fill it out, and send it to me at wendy4swim@aol.com. Please put "Adult Lessons" in the subject line. 
 

NAME:
 
AGE: 
 
ADDRESS:
 
PHONE:
 
Do You Have Access to a POOL?                 Apartment__________________Home________________Other_________________ 
 
 
MY SWIMMING ABILITY:  (PLEASE ANSWER YES OR NO) 
 
I am a complete beginner_____     I am afraid of the water_____        I am afraid to put my head under water_____          I can float on my front_____  
I can float on my back_____     I can tread water( keep my head above water for one minute) _____     I can go to the bottom of a pool (8 feet)_____  
 
I can exhale underwater (blow bubbles)_____
 
I know the basics of:    Freestyle______     Elementary back stroke______      Breast Stroke_____    Back Crawl Stroke_______      Butterfly_____
 
                                                       Side Stroke __________
 
 
TELL ME A LITTLE BIT ABOUT YOUR FEELINGS AND EXPERIENCE WITH SWIMMING:
 
 
 
 
 
TIMES THAT I AM AVAILABLE FOR LESSONS: Classes are scheduled by appointment and instructor availability
Please specify all days and times that you would be able to schedule a class. 
 
 
 

Enter supporting content here