Harbor Athletic Club

Private Swim lessons Interest Sheet

Note: Swim Instructors may not be available immediately. An instructor will contact you within 3 business days.

Thank You for your interest!

Name *

Email *

Confirm Email *

Home Phone

Times to call Home

Work or Cell Phone

Times to Call Work/Cell

Are you a Harbor member? Yes No

Available appointment times

Interests, Goals & Health Concerns

Security Code

Thanks for your interest in Private Swim Lessons. We want you to get started as soon as possible with one of our many talented instructors.

Note: Instructors may not be available immediately. An instructor will contact you within 3 business days.