private swim lesson request participant information ... - Arlingtonva
ARLINGTON COUNTY DEPARTMENT OF PARKS & RECREATION
PRIVATE SWIM LESSON REQUEST Arlington County offers private swim lessons at the 3 Arlington Public School pools: Wakefield High School · Washington-Lee High School · Yorktown High School In order to register for private swim lessons you must have a Department of Parks and Recreation Rec-Trac account. You can create one or log-in at registration.arlingtonva.us or call 703- 228-4747, press 1 for Registration Office.
PARTICIPANT INFORMATION
ABOUT OUR PRIVATE SWIM LESSONS
Date of submission: ___________________ Household Account No.: ____________ Participant Name: ______________________________ Age: _____ DOB: _________ Phone: _______________________ Other Phone: ____________________________ Parent/Guardian Name: _________________________________________________ Address: _____________________________________________________________ City/State/Zip: ________________________________________________________ E-mail Address: _______________________________________________________ Preferred Instructor (If any): _____________________________________________ Beginner Swimming experience: __________________________________________________ Special Needs & Additional Info: (If any): ____________________________________________________________________ ____________________________________________________________________ _
Please note that this is a request form only. This does not guarantee that we can schedule a lesson immediately.
Please do not send payment with this request.
Private lessons are first-come, firstserved based on the date of this request submission.
Average wait time is two weeks to a month. However, during busy times and depending on your availability, it may take longer.
LESSON PACKAGES
Please select your lesson choice below: Half Hour – 1 Person Half Hour 1 Person (SM1) 4 Half Hour 1 Person (SM1P4) 8 Half Hour 1 Person (SM1P8) Half Hour – 2 People Half Hour 2 People (SM2) 4 Half Hour 2 People (SM2P4) 8 Half Hour 2 People (SM2P8)
$31.50 per class $28 per class
TOTAL $35 $126 $224
$22.50 per class/per person $20 per class/per person
TOTAL $50 $180 $320
AVAILABILITY Please provide us any time or day that you might be available for lessons.* Typical available times are evenings and weekend afternoons. Location(s)
Day(s)
Time(s)
Wakefield High School Wakefield High School
REGISTRATION AND PAYMENT STEPS
Submit this request to [email protected].
After receiving completed request form, when a spot that fits your availability opens, we will e-mail you with an initial offer. It is important that you accept or decline the offer by the date indicated. If you decline, we will continue to work with you to find a spot.
If you accept the spot, we will book your lessons and e-mail you a confirmation and invoice. Additional information for payments and procedures at the pool will be included. This information is also in the Private Swim Information Sheet, as well as on our WEBSITE.
Wakefield High School
*ALL CANCELLATIONS SHOULD BE REPORTED TO THE INSTRUCTOR DIRECTLY, AND BY E-MAILING [email protected], AT LEAST 24 HOURS PRIOR TO THE START TIME OF THE LESSON. FAILURE TO DO SO WILL RESULT IN THE LOSS OF ONE LESSON.
I have read and understand the HOLD HARMLESS AGREEMENT, and by my signature, agree to its terms. Print Name: __________________________________________________________________________________________ Signature: ________________________________________________________________ Date: ______________________
PRIVATE SWIM LESSON REQUEST Arlington County offers private swim lessons at the 3 Arlington Public School pools: Wakefield High School · Washington-Lee High School · Yorktown High School In order to register for private swim lessons you must have a Department of Parks and Recreation Rec-Trac account. You can create one or log-in at registration.arlingtonva.us or call 703- 228-4747, press 1 for Registration Office.
PARTICIPANT INFORMATION
ABOUT OUR PRIVATE SWIM LESSONS
Date of submission: ___________________ Household Account No.: ____________ Participant Name: ______________________________ Age: _____ DOB: _________ Phone: _______________________ Other Phone: ____________________________ Parent/Guardian Name: _________________________________________________ Address: _____________________________________________________________ City/State/Zip: ________________________________________________________ E-mail Address: _______________________________________________________ Preferred Instructor (If any): _____________________________________________ Beginner Swimming experience: __________________________________________________ Special Needs & Additional Info: (If any): ____________________________________________________________________ ____________________________________________________________________ _
Please note that this is a request form only. This does not guarantee that we can schedule a lesson immediately.
Please do not send payment with this request.
Private lessons are first-come, firstserved based on the date of this request submission.
Average wait time is two weeks to a month. However, during busy times and depending on your availability, it may take longer.
LESSON PACKAGES
Please select your lesson choice below: Half Hour – 1 Person Half Hour 1 Person (SM1) 4 Half Hour 1 Person (SM1P4) 8 Half Hour 1 Person (SM1P8) Half Hour – 2 People Half Hour 2 People (SM2) 4 Half Hour 2 People (SM2P4) 8 Half Hour 2 People (SM2P8)
$31.50 per class $28 per class
TOTAL $35 $126 $224
$22.50 per class/per person $20 per class/per person
TOTAL $50 $180 $320
AVAILABILITY Please provide us any time or day that you might be available for lessons.* Typical available times are evenings and weekend afternoons. Location(s)
Day(s)
Time(s)
Wakefield High School Wakefield High School
REGISTRATION AND PAYMENT STEPS
Submit this request to [email protected].
After receiving completed request form, when a spot that fits your availability opens, we will e-mail you with an initial offer. It is important that you accept or decline the offer by the date indicated. If you decline, we will continue to work with you to find a spot.
If you accept the spot, we will book your lessons and e-mail you a confirmation and invoice. Additional information for payments and procedures at the pool will be included. This information is also in the Private Swim Information Sheet, as well as on our WEBSITE.
Wakefield High School
*ALL CANCELLATIONS SHOULD BE REPORTED TO THE INSTRUCTOR DIRECTLY, AND BY E-MAILING [email protected], AT LEAST 24 HOURS PRIOR TO THE START TIME OF THE LESSON. FAILURE TO DO SO WILL RESULT IN THE LOSS OF ONE LESSON.
I have read and understand the HOLD HARMLESS AGREEMENT, and by my signature, agree to its terms. Print Name: __________________________________________________________________________________________ Signature: ________________________________________________________________ Date: ______________________
