Re-Scheduling Lessons Form

Parents Name: *

Student(s) Name: *

Best way to contact: *

Please verify that all contact information on file is up to date in the Parent Portal.

Lesson Status: *

CONTINUE: We would like to continue lessons the week of 7/6. My priority in keeping the SAME day, time, and instructor are as follows:

TERMINATE: We will not be returning to swim lessons the week of 7/6. Please terminate all lessons and I will contact ASC when I am ready to return. I understand that my credit on my ASC family account will never expire and can be used towards future lessons, retail, parties, and any other services ASC offers.

Would you be interested in At-Home Lessons? *

Yes, I'll check it out now! (see below for directions)

No, thanks though and best of luck.

Find out more about our At-Home Lessons by locating the link under our 'Swim Lessons' drop-down menu or going to www.Swim4Life.com/at-home-lessons

#1 Priority: *

#2 Priority: *

#3 Priority: *

#4 Priority: *

What is your availability? Please list ALL days/times. *

Enter the TOTAL number of students you would like to enroll INCLUDING currently enrolled students. *

Would you like to enroll new siblings?

Important information (Special Needs, female only, etc.): *

Comments, questions, concerns?

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Re-Scheduling Lesson Form