Adult Private Swim Lessons Form – Student Affairs Forms

Please use the form below to register for the adult private swim lessons.

**Please Note: Non-members with swim lessons are only allowed use of the pool during their scheduled lessons. Swimming before and after a lesson and Use of the facility by a child or family members is prohibited. The Falls area is off limits to minors at all times, excluding family hours for Dedman Center Members only.

Before completing this form, please review the Swim Lesson Rules and Fees.

How many swim lessons would you like to purchase? *

Single lesson

5-Pack

10-Pack

I confirm that I have read and understand the SMU Campus Recreation Aquatics Swim Lesson Terms and Conditions available on the SMU Aquatics Swim Lesson webpage and I further agree to the Cancellation policy of 48 hours advance notice. I agree that failure to notify my instructor of cancellation in less than 48 hours will result in the loss of a lesson without refund or reimbursement. I also understand that swim lessons are non-refundable and non-transferrable to anyone other than the person listed.

I Agree and Accept

First Name *

Last Name *

Date of Birth (MM/DD/YYYY)* *

Current Enrolled SMU Student *

Yes

No

SMU ID Number (No Hyphens)

Age *

Home Phone *

Alternate Phone *

Email *

Preferred Method of Contact *

Home Phone

Alternate Phone

Email

Instructor Preference *

Female

Male

No preference

If known, provide the name of the preferred instructor

What best describes your current swim level? *

Cannot Swim

Beginner

Intermediate

Advanced

Please Rate the Person Listed Above Comfort Level in Water *

Do you have any concerns that you would like noted?

What goals do you hope to achieve with the swim lesson(s)?

To determine the instructor that best fits your needs, please provide the specific days of the week and times of the day available to schedule swim lessons: *

How did you hear about our swim program?

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