Jacksonville Swimming Lessons at Swimming Safari Swim School

Online Request

Call 904-260-1836 with any questions

Fill out the form below and we’ll contact you to schedule your lessons.

*Swimmer's Name
Email
Gender	Male Female
Student's Current Age
*Parent Full Name
*Home Phone
Cell Phone
Work Phone

Other contacts' name, phone number(s), relationships:

Anything we should know about the child’s personality, learning style, or medical conditions?

*How did you hear about Swimming Safari Swim School?

What is your student’s swimming ability?
Level 1: Starfish & Sea Turtle - Learning about the water & Becoming comfortable. (Beginner or nervous? Or will put face in but swims with noodle or assistance.)
Level 2: Whale & Frog-Breaking away from Instructor & Becoming Independent. Learning to float comfortably on tummy and back, and needs work on moving efficiently, form, breath control and rolling-over from their tummies into a survival float.
Level 3: Octopus & Dolphin - Learning Different Strokes Deep Water Activities. Swims easily and is ready to learn new strokes, diving & underwater challenges.
Level 4: Shark and King Fish. Swimming is so much fun, doesn’t want to get out, ready to work on refining all four strokes and get ready for Swim Team.

Please describe your child’s swim level presently and what you wish to accomplish.
(If not described above)

What type of lessons are you interested in?

Which month would you like to begin?

Which location would you prefer?

Which program would work for you?

What days/times are you available to come for lessons?

	Morning	Afternoon	Evening
Mon.
Tue.
Wed.
Thr.
Fri.				(Fri. is at Stonehurst only)
Sat.

*Type the two words below to make sure you're human:

Your friendly Swimming Safari Guide will be in touch with you shortly. Please don't hesitate to call us at 904-260-1836 if you have any questions in the meantime.