Private Swim Lesson Registration Form (Child)

Go To: Policies | Registration | Swim Lessons Home

Please stop by the Dedman Center for more information or contact Ty McDonald at 214-768-8816 or tymcdonald@smu.edu.

Recreational Sports is a department in the Division of Student Affairs.

Registration Date
Parent Name
Child Name
Child Age
Home Phone
Alternate Phone
Email
Preferred Method of Contact Home Phone Alternate Phone Email

How many swim lessons would you like to purchase? Single Lesson 5 Pack 10 Pack
Instructor Preference: Male Female No Preference
What best describes your current swim level? Cannot Swim Beginner Intermediate Advanced
Does your child have any fear of the water? YES NO
Do you have any concerns that you would like noted?
What days and times are you available for lessons? What goals do you hope to achieve with the swim lesson(s)? How did you hear about our swim program?