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
Please Select
M
F
Age
*
Age
Skill Level
*
Skill level
Beginner
Intermediate-some prior lesson experience
Advanced- Stroke work and technique
Water-Inclusion
Member Type
Member type
Select Member Type
Member
Potential Member
REMOVE PARTICIPANT
ADD PARTICIPANT
Preferences
Location
*
Location
Caine Halter Swim Instructor
Eastside Family YMCA
Life Center YMCA
Prisma Health Family YMCA-Simpsonville
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 Private Lesson $45 for members / $70 for nonmembers
4 Private Lessons $175 for members/ $275 for nonmembers
8 Private Lessons $350 for members/ $550 for nonmembers
1 Semi-Private Lesson $35 per member / $55 per nonmember
4 Semi-Private Lessons $135 per member / $200 per nonmember
8 Semi-Private Lessons $270 per member / $360 per nonmember
SAVE
