Volunteer Information

Swim Lessons Needed (SLN)

Information Form

Please provide the requested information below so we may contact you by email when swim lessons or clinics are available in your community. In addition, check out the swim lesson locator for lessons in your area at your local City Pool and YMCA. *Children must be under the age of 18 and parent contact information must be provided.

* Required Fields

Contact Information

Child's First and Last Name

Parent First Name

Parent Last Name

Cell Phone

Parent Email

Child's Email

Zip Code

School Name

School Grade (number)

Is your child in need of swim lessons?

Swim Level

Please check all that apply:

No comfort in water at all

Some comfort in the water

Comfortable in the water

Additional Information

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