YMCA Swim Lesson Sign-up Sheet

This form is for ages 6-9

all other ages will need to fill out age appropriate form

Enter your name:

Enter your email:

Age of swimmer:

Has your swimmer had prior lessons? Yes No

What skills does your swimmer already have?
Floating
Treading
Front Stroke
Breast Stroke
Back Stroke
Butterfly Stroke


Do you have any comments for your instructor?