RVSC 2025 Private Swim Lessons (one form per swimmer) (1) Please complete one form for each swimmer to register for Private Swim Lessons. "*" indicates required fields Your Name* First Last Phone*Email* Enter Email Confirm Email Swimmer's Name* First Last Age*Please enter a number from 2 to 65.Experience* None Beginner - able to put face in water, jumps in, and some floating Intermediate - have some swim skills and is comfortable in water Advanced - can swim basic freestyle Single Lesson Quantity Price: $60.00 Quantity Each lesson is 30 minutes, 1:1 with instructorPackage of 3 Lessons Quantity Price: $170.00 Quantity Each lesson is 30 minutes, 1:1 with instructorNotesPlease note preferred days/times and any additional considerations. Once your registration is received an instructor will contact you to set up a mutually agreeable time. We will attempt to accommodate preferences as best we can but all scheduling is subject to instructor availability.RVSC Member #RVSC members are eligible for a $10 discount on each lesson session. For member discount, please enter your Member # which can be found in the blue bar above your name in your Member Splash accountPaymentDiscount $0.00 Subtotal $0.00 Convenience Fee* Price: $0.00 Total Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Security Code Cardholder Name CAPTCHAOrder Token