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Get Boston College Adult Private Swimming & Diving Lesson Information Sheet

Participant Name: Phone # : Email: Preferred method of contact (For semi-private lessons we will email both participants): Phone Email Please list any prior swimming or diving experience: Please list 3 goals you wish to accomplish in these lessons: 1. 2. 3. Swim Instructor Preference (check one): Male Female Doesn t Matter 1st Choice for Instructor: 2nd Choice for Instructor: 3rd Choice for Instructor: What dates (if any) would you unable to attend your lessons? Please mark your requ.

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