Piscines Pierrefonds-Roxboro
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Piscine Valleycrest
Horaire
Bain libre
Programme aquatique
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Piscine Versailles
Horaire
Bain libre
Programme aquatique
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Private lessons request form
Versailles Pool
Company
This field is for validation purposes and should be left unchanged.
Name of the person in charge
(Required)
Email
(Required)
Phone
(Required)
Name of the person taking the private lesson
(Required)
Age of the person taking the private lesson
(Required)
Last swimming level achieved
(Required)
Preferred time for lessons (more than one answer possible)
(Required)
Week days
Weekend
AM
PM
Desired duration for lessons
(Required)
30 minutes per lesson
45 minutes per lesson
60 minutes per lesson
Desired number of lessons
(Required)
Only 1 private lesson
2 private lessons
3 private lessons
4 private lessons
5 private lessons
Preferred instructor (if any)
Other information
