Contact Information
Fisrt Name
Last Name
Street Address
Type of Lesson
State, Zip
Cell Phone Number (where you can be reached the day of your lesson)
Lesson Information
Select Date of Lesson For all other lessons, if dates you want are not available please send an email to

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Wetsuit Sizing for up to 3 people - use text box for 4+
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2. male female
3. male female
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Does everyone in your party know how to swim proficiently? Do you have additional questions about the lessons? Use the text box.

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