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Information Request Form

I am requesting information for: Please select Swim Lessons or Swim Team *

Please let us know if you are looking for Swim Lessons or Swim Team

Contact Name *

First

Last

Email *

We will answer you email soon. Please also check your spam email for our answer. We will answer from mhaswim@gmail.com or hwteam@midhudsonaquatics.org

Cell # to receive text messages *

Let us know what are the best possible days in our schedule that you would prefer your child's lessons *

What Swimming Level is Your Child? *

Ready to try a swim team, or already have swim team experience.
Beginner or have never taken swim lessons before
Comfortable in the water
Submerge face in the water
Doggy paddle
Swim without flotation device
Jump independently
Swim or float on back
Swim front crawl
Special needs - Please briefly explain using the provided space.

Please help us determine the correct class for your child by selecting at least one answer, select all that apply.

Age *