YMCA of Greenville
Lesson Request
Please be as specific as possible with your availability!
* Required
Primary Contact Information
First Name
*
Parent first name
Last Name
*
Parent last name
Primary Phone Number
*
Phone number
Secondary Phone Number
Email
*
Email
Preferred Contact Method
Primary (Text)
Primary (Call)
Email
Secondary (Text)
Secondary (Call)
Participant Information
First Name
*
First name
Last Name
Last name
Gender
*
Sex
M
F
Age
*
Age
Skill Level
*
Skill level
Beginner
Intermediate-some prior lesson experience
Advanced- Stroke work and technique
REMOVE PARTICIPANT
ADD PARTICIPANT
Preferences
Location
Special Accommodations or Requests
Objectives
General Availability
Please mark the times of the day you are generally available for lessons week to week
AM
AFTN
PM
Morning
Afternoon
Evening
S
Sunday
M
Monday
T
Tuesday
W
Wednesday
R
Thursday
F
Friday
S
Saturday
Packages
Select Available Package
*
Package
1 Lesson $28 for members / $42 for nonmembers
4 Lessons $100 for members/ $149 for nonmembers
8 Lessons $185 for members/ $275 for nonmembers
SAVE
