Astoria Parks and Recreation

Lesson Request

Private and Semi Private Swim Lesson Information:

Private: $150.00 for a pack of 5-30 minute sessions Additional Private lessons are $25 for 30 minutes Semi-private: $15.00 per 30 minutes lessons

If you have questions, please contact Natalie Viescas, Aquatic Recreation Coordinator Phone: (503) 325-2463 Email: [email protected]

* Required

Primary Contact Information

First Name *

Last Name *

Primary Phone Number *

Secondary Phone Number

Email *

Preferred Contact Method

Participant Information

First Name *

Last Name *

Gender *

Age *

Skill Level *

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 *