Private Swim Lesson Request Form

Private Swim Lesson Request Form

After submitting the request form, the swim coordinator will contact you within 10 business days to schedule your lessons and assign you to an instructor. If more than 10 business days have lapsed since you submitted the request, please call the JCC at 303.399.2660 and ask for Aquatics.

We require 8 hours notice in order to cancel a lesson, otherwise you will be charged for the lesson (emergencies will be taken into consideration)
Name*

First NameLast Name
Email*
YES, I'D LIKE TO RECEIVE EMAILS FROM JCC DENVER
Phone Number*

Area CodePhone Number
Preferred method of contact*

PhoneEmail

Are you a JCC Fitness & Aquatics Member?*

YesNo
How did you hear about JCC swim lessons?*
We require you to verify your identity by receiving a one-time passcode via SMS*
Should be Empty: