About Us
Why NJAC
Careers
Contact
Programs
Personal Training
Group Exercise
Parisi Speed School
Rock Steady Boxing
Swim Lessons
Nutrition
Club Schedules & Info
GX Class Schedule
Court Schedule
Pool Schedule
Pool FAQs
Boxing Room Schedule
Juice Bar
Camps
Boot Camp
Summer Camps
Members
My Account
Freeze Request
Cancellation Request
Join Us
About Us
Why NJAC
Careers
Contact
Programs
Personal Training
Group Exercise
Parisi Speed School
Rock Steady Boxing
Swim Lessons
Nutrition
Club Schedules & Info
GX Class Schedule
Court Schedule
Pool Schedule
Pool FAQs
Boxing Room Schedule
Juice Bar
Camps
Boot Camp
Summer Camps
Members
My Account
Freeze Request
Cancellation Request
Join Us
Swim Lessons Request
Swim lessons request form
Please complete the form below
Name
*
First Name
Last Name
Relationship to the swimmer
*
I am the swimmer
I am the responsible party
Email
*
Phone
*
(###)
###
####
Age
*
Type of lesson
*
Private
Semi Private
Additional Swimmers or information
Please provide names & ages of all additional swimmers or any additional information.
Thank you!
