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City of Lafayette


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Swim Lesson Requests

Private and Semi-Private swim lessons are for students of any age and ability and are 30 minutes in length.  Please complete the form for your request to be filled. 
 
* Date 
* Name of Student 
* Level 
Name of Student 
Age 
Level 
* Parent Name 
* Telephone Number 
Day(s) requested 
Date to start lessons 
Number of lessons 
* Goals for lesson 
* Age 
Class Time 
 
 
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