Swim Express
Teaching Swimming to All Ages

Six Day Track Schedule Request

Six Day Track Schedule Request

 

Are you ready to submit a schedule request for the Drowning Prevention Six Day Track?

Fill out the details below, and we will be in touch with you!

Please note that the lessons do not have to take place on six consecutive days, though having all six lessons within two to three weeks is preferred.


Parent/Guardian's Name *
Parent/Guardian's Name
Phone *
Phone
Swimmer's Name *
Swimmer's Name
Swimmer's Birthdate *
Swimmer's Birthdate
The Six Day Track is designed for ages 2-12. Please contact the office for a free evaluation if your child is 20-23 months and would like to schedule the Six Day Track. Email: office@swimexpressfl.com
Additional Swimmer's Name
Additional Swimmer's Name
If a sibling/friend is joining the other sibling/friend on the first and last day, please include name here.
Additional Swimmer's Birthdate
Additional Swimmer's Birthdate
If a sibling/friend is joining the other sibling/friend on the first and last day, please select birthdate here.
Please choose the location where the lessons will be held
Heated pools are recommended during cooler months (November - April)
Monday Availability *
Coach Will only. Lessons are 30 minutes in length.
Tuesday Availability *
Lessons are 30 minutes in length.
Wednesday Availability *
Coach Mark only. Lessons are 30 minutes in length.
Thursday Availability *
Lessons are 30 minutes in length.
Friday Availability *
Lessons are 30 minutes in length.
Saturday Availability *
Lessons are 30 minutes in length.
Any specific scheduling requests? Do you have a specific start date in mind?