Traveling Instructor Request Form

Please fill out the form below to see our traveling instructor availability for your area and desired dates. Please be as specific as possible so that we can match you will an instructor who is available at your desired times. 

Name *
Please enter what city the pool is in, not what city you live in (if different).
Number of Swimmers *
Please write the ages of each swimmer.
The more flexible your schedule, the quicker we can match you with an instructor with similar times and days as you!
If you have a specific day you would like to start, please enter it. If you would like to start in a specific month but the day is flexible, please enter the month.
Desired Schedule *
Please check all times and days that you are generally available for. A specific time and day schedule will be set with your instructor. Morning: 9am-Noon Afternoon: Noon-4pm Evening: 4pm-7pm
If you can only do a certain day and time instead of a time frame like "morning" or "afternoon", list it here.
If there is anything else we should know to help us better match you with your instructor, please write it here.