Bronx Swim
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Sign In
My Account
Cart
0
Home
Schedule & Fees
Classes & Times
Register
Parent Portal
Contact
Bronx Swim
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Swim Lessons in The Bronx
and Mount Vernon!
Bronx Swim
offers swim instruction for swimmers of all swimming abilities and most ages.
Schedule, Locations, & Fees
Classes
Registration
If you are interested in swim lessons and have questions that were not answered at the links above, please complete this form and we will respond as soon as possible.
Name
*
First Name
Last Name
Phone
*
(###)
###
####
Email Address
*
Preferred Method of Contact (can select multiple)
*
Phone Call
Text
Email
Age of Swimmer (If Adult, enter "Adult")
*
Swimming Ability
*
Non-Swimmer (Can't swim and/or fearful of water)
Beginner (Can progress in water but uncomfortable in deep water)
Intermediate (Can progress in water AND comfortable in deep water)
Advanced (Lap swimmer)
Days/Times (can select multiple)
*
Preferred times
Mondays - Evening
Tuesdays - Evening
Wednesdays - Evening
Thursdays - Evening
Fridays - Evening
Saturdays - Morning
Saturdays - Afternoon
Sundays - Morning
Sundays - Afternoon
Start Date
If interested in lessons, when are you looking to start?
This month
Next month
Sometime in the future
Enrolled Before?
Has the swimmer been previously enrolled at Bronx Swim?
Yes
No
Comments/Questions? Please include any special needs, accommodations, or medical conditions.
Thank you!
Title
Survey