{"id":212624,"date":"2025-03-11T16:25:07","date_gmt":"2025-03-11T16:25:07","guid":{"rendered":"https:\/\/www.fayac.com\/?page_id=212624"},"modified":"2026-02-06T20:16:35","modified_gmt":"2026-02-06T20:16:35","slug":"2026-private-swim-lesson-registration","status":"publish","type":"page","link":"https:\/\/www.fayac.com\/2026-private-swim-lesson-registration\/","title":{"rendered":"2026 Private Swim Lesson Registration"},"content":{"rendered":"\n<div style=\"height:52px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(0, 0, 0, 0.8);}<\/style>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">2026 Private Swim Lessons<\/h2>\n                            <p class='gform_description'>Private Swim lessons are sold in packages of 4.  Personalized swim instruction customized to the swimmer&#8217;s individual needs.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_68'  action='\/wp-json\/wp\/v2\/pages\/212624' data-formid='68' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_68' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_68_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-two-thirds gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Parent\/Guardian Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_68_1'>\n                            \n                            <span id='input_68_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_68_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_68_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_68_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_68_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_68_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_68_45\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_68_45'>Date of Birth of Parent\/Guardian<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_45' id='input_68_45' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_68_45_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_68_45_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_68_45' class='gform_hidden' value='https:\/\/www.fayac.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_68_5\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-two-thirds gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Participant&#039;s Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_68_5'>\n                            \n                            <span id='input_68_5_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.3' id='input_68_5_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_68_5_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_68_5_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.6' id='input_68_5_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_68_5_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_68_7\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_68_7'>Date of Birth of Participant<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_7' id='input_68_7' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_68_7_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_68_7_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_68_7' class='gform_hidden' value='https:\/\/www.fayac.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_68_8\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_68_8' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_68_8_1_container' >\n                                        <input type='text' name='input_8.1' id='input_68_8_1' value=''    aria-required='true'    \/>\n                                        <label for='input_68_8_1' id='input_68_8_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_68_8_2_container' >\n                                        <input type='text' name='input_8.2' id='input_68_8_2' value=''     aria-required='false'   \/>\n                                        <label for='input_68_8_2' id='input_68_8_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_68_8_3_container' >\n                                    <input type='text' name='input_8.3' id='input_68_8_3' value=''    aria-required='true'    \/>\n                                    <label for='input_68_8_3' id='input_68_8_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_68_8_4_container' >\n                                        <input type='text' name='input_8.4' id='input_68_8_4' value=''      aria-required='true'    \/>\n                                        <label for='input_68_8_4' id='input_68_8_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_68_8_5_container' >\n                                    <input type='text' name='input_8.5' id='input_68_8_5' value=''    aria-required='true'    \/>\n                                    <label for='input_68_8_5' id='input_68_8_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_68_8_6_container' >\n                                        <select name='input_8.6' id='input_68_8_6'   aria-required='true'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_68_8_6' id='input_68_8_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_68_9\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_68_9'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_9' id='input_68_9' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_68_10\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_68_10'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_10' id='input_68_10' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_68_13\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Private Swim Lessons<\/h3><div class='gsection_description' id='gfield_description_68_13'>Private lessons are available in weekly packages\u2014choose from once, twice, or four times per week based on your swimmer\u2019s goals and your availability.\nLessons are sold in packs of four and do not auto-renew.\nA new form submission is required for each four-pack purchased. This ensures accurate scheduling, confirms instructor and pool availability, and authorizes payment for the upcoming set of lessons.\nWe appreciate your attention to this process and your partnership in helping us maintain a smooth and reliable experience for all families.<\/div><\/div><fieldset id=\"field_68_22\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >PRIVATE LESSON RATE<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_68_22'><div class='gchoice gchoice_68_22_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.1' type='checkbox'  value='MEMBER RATE:  $140.00 for 4 lessons'  id='choice_68_22_1'   aria-describedby=\"gfield_description_68_22\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_68_22_1' id='label_68_22_1' class='gform-field-label gform-field-label--type-inline'>MEMBER RATE:  $140.00 for 4 lessons<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_22_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.2' type='checkbox'  value='GUEST RATE: $160.00 for 4 lessons'  id='choice_68_22_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_22_2' id='label_68_22_2' class='gform-field-label gform-field-label--type-inline'>GUEST RATE: $160.00 for 4 lessons<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_68_22'>A friendly reminder, in order for the child&#8217;s lessons to be at the member rate, the child must have a junior membership with FAC. <\/div><\/fieldset><fieldset id=\"field_68_43\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Please select the month you&#039;d like your private lessons to begin. This helps us coordinate instructor availability and pool space efficiently. If you&#039;re unsure which month works best, feel free to leave a detailed note in the message box below.  We&#039;ll do our best to accommodate your needs and find a schedule that works to fit your needs.  If you have any questions, please reach out\u2014we\u2019re happy to help you find the right fit for your swimmer\u2019s schedule.<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_68_43'><div class='gchoice gchoice_68_43_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_43.1' type='checkbox'  value='February'  id='choice_68_43_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_43_1' id='label_68_43_1' class='gform-field-label gform-field-label--type-inline'>February<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_43_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_43.2' type='checkbox'  value='March'  id='choice_68_43_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_43_2' id='label_68_43_2' class='gform-field-label gform-field-label--type-inline'>March<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_43_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_43.3' type='checkbox'  value='April'  id='choice_68_43_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_43_3' id='label_68_43_3' class='gform-field-label gform-field-label--type-inline'>April<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_68_41\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Select any days you\u2019re available for private lessons. This helps us match you with an instructor and reserve pool space that fits your schedule. If your availability changes or you&#039;re unsure which days to select, leave a detailed note in the message box below. We\u2019ll do our best to accommodate your needs and find a schedule that works for you.<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_68_41'><div class='gchoice gchoice_68_41_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.1' type='checkbox'  value='Sunday'  id='choice_68_41_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_41_1' id='label_68_41_1' class='gform-field-label gform-field-label--type-inline'>Sunday<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_41_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.2' type='checkbox'  value='Monday'  id='choice_68_41_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_41_2' id='label_68_41_2' class='gform-field-label gform-field-label--type-inline'>Monday<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_41_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.3' type='checkbox'  value='Tuesday'  id='choice_68_41_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_41_3' id='label_68_41_3' class='gform-field-label gform-field-label--type-inline'>Tuesday<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_41_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.4' type='checkbox'  value='Wednesday'  id='choice_68_41_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_41_4' id='label_68_41_4' class='gform-field-label gform-field-label--type-inline'>Wednesday<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_41_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.5' type='checkbox'  value='Thursday'  id='choice_68_41_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_41_5' id='label_68_41_5' class='gform-field-label gform-field-label--type-inline'>Thursday<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_41_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.6' type='checkbox'  value='Friday'  id='choice_68_41_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_41_6' id='label_68_41_6' class='gform-field-label gform-field-label--type-inline'>Friday<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_41_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.7' type='checkbox'  value='Saturday'  id='choice_68_41_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_41_7' id='label_68_41_7' class='gform-field-label gform-field-label--type-inline'>Saturday<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_68_42\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Please select any time frames you\u2019re available for private lessons. This helps us match you with an instructor and reserve pool space that fits your schedule.  Available morning private lesson options include:<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_68_42'><div class='gchoice gchoice_68_42_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.1' type='checkbox'  value='08:30 AM to 09:00 AM'  id='choice_68_42_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_42_1' id='label_68_42_1' class='gform-field-label gform-field-label--type-inline'>08:30 AM to 09:00 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_42_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.2' type='checkbox'  value='08:45 AM to 09:15 AM'  id='choice_68_42_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_42_2' id='label_68_42_2' class='gform-field-label gform-field-label--type-inline'>08:45 AM to 09:15 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_42_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.3' type='checkbox'  value='09:00 AM to 09:30 AM'  id='choice_68_42_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_42_3' id='label_68_42_3' class='gform-field-label gform-field-label--type-inline'>09:00 AM to 09:30 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_42_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.4' type='checkbox'  value='09:15 AM to 09:45 AM'  id='choice_68_42_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_42_4' id='label_68_42_4' class='gform-field-label gform-field-label--type-inline'>09:15 AM to 09:45 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_42_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.5' type='checkbox'  value='09:30 AM to 10:00 AM'  id='choice_68_42_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_42_5' id='label_68_42_5' class='gform-field-label gform-field-label--type-inline'>09:30 AM to 10:00 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_42_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.6' type='checkbox'  value='09:45 AM to 10:15 AM'  id='choice_68_42_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_42_6' id='label_68_42_6' class='gform-field-label gform-field-label--type-inline'>09:45 AM to 10:15 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_42_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.7' type='checkbox'  value='10:00 AM to 10:30 AM'  id='choice_68_42_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_42_7' id='label_68_42_7' class='gform-field-label gform-field-label--type-inline'>10:00 AM to 10:30 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_42_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.8' type='checkbox'  value='10:15 AM to 10:45 AM'  id='choice_68_42_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_42_8' id='label_68_42_8' class='gform-field-label gform-field-label--type-inline'>10:15 AM to 10:45 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_42_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.9' type='checkbox'  value='10:30 AM to 11:00 AM'  id='choice_68_42_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_42_9' id='label_68_42_9' class='gform-field-label gform-field-label--type-inline'>10:30 AM to 11:00 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_42_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.11' type='checkbox'  value='10: 45 AM to 11:15 AM'  id='choice_68_42_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_42_11' id='label_68_42_11' class='gform-field-label gform-field-label--type-inline'>10: 45 AM to 11:15 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_42_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.12' type='checkbox'  value='11:00 AM to 11:30 AM'  id='choice_68_42_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_42_12' id='label_68_42_12' class='gform-field-label gform-field-label--type-inline'>11:00 AM to 11:30 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_42_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.13' type='checkbox'  value='11:15 AM to 11:45 AM'  id='choice_68_42_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_42_13' id='label_68_42_13' class='gform-field-label gform-field-label--type-inline'>11:15 AM to 11:45 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_42_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.14' type='checkbox'  value='11:30 AM to 12:00 PM'  id='choice_68_42_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_42_14' id='label_68_42_14' class='gform-field-label gform-field-label--type-inline'>11:30 AM to 12:00 PM<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_68_48\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Please select any time frames you\u2019re available for private lessons. This helps us match you with an instructor and reserve pool space that fits your schedule. Afternoon Private Lesson Options Include:<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_68_48'><div class='gchoice gchoice_68_48_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.1' type='checkbox'  value='12:15 PM to 12:45 PM'  id='choice_68_48_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_48_1' id='label_68_48_1' class='gform-field-label gform-field-label--type-inline'>12:15 PM to 12:45 PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_48_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.2' type='checkbox'  value='12:30 PM to 1:00 PM'  id='choice_68_48_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_48_2' id='label_68_48_2' class='gform-field-label gform-field-label--type-inline'>12:30 PM to 1:00 PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_48_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.3' type='checkbox'  value='12:45 PM to 1:15 PM'  id='choice_68_48_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_48_3' id='label_68_48_3' class='gform-field-label gform-field-label--type-inline'>12:45 PM to 1:15 PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_48_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.4' type='checkbox'  value='1:00 PM to 1:30 PM'  id='choice_68_48_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_48_4' id='label_68_48_4' class='gform-field-label gform-field-label--type-inline'>1:00 PM to 1:30 PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_48_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.5' type='checkbox'  value='1:15 PM to 1:45 PM'  id='choice_68_48_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_48_5' id='label_68_48_5' class='gform-field-label gform-field-label--type-inline'>1:15 PM to 1:45 PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_48_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.6' type='checkbox'  value='1:30 PM to 2:00 PM'  id='choice_68_48_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_48_6' id='label_68_48_6' class='gform-field-label gform-field-label--type-inline'>1:30 PM to 2:00 PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_48_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.7' type='checkbox'  value='1:45 PM to 2:15 PM'  id='choice_68_48_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_48_7' id='label_68_48_7' class='gform-field-label gform-field-label--type-inline'>1:45 PM to 2:15 PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_48_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.8' type='checkbox'  value='2:00 PM to 2:30PM'  id='choice_68_48_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_48_8' id='label_68_48_8' class='gform-field-label gform-field-label--type-inline'>2:00 PM to 2:30PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_48_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.9' type='checkbox'  value='2:15 PM to 2:45 PM'  id='choice_68_48_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_48_9' id='label_68_48_9' class='gform-field-label gform-field-label--type-inline'>2:15 PM to 2:45 PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_48_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.11' type='checkbox'  value='2:30 PM to 3:00 PM'  id='choice_68_48_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_48_11' id='label_68_48_11' class='gform-field-label gform-field-label--type-inline'>2:30 PM to 3:00 PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_48_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.12' type='checkbox'  value='2:45 PM to 3:15 PM'  id='choice_68_48_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_48_12' id='label_68_48_12' class='gform-field-label gform-field-label--type-inline'>2:45 PM to 3:15 PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_48_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.13' type='checkbox'  value='3:00 PM to 3:30 PM'  id='choice_68_48_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_48_13' id='label_68_48_13' class='gform-field-label gform-field-label--type-inline'>3:00 PM to 3:30 PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_48_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.14' type='checkbox'  value='3:15 PM to 3:45 PM'  id='choice_68_48_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_48_14' id='label_68_48_14' class='gform-field-label gform-field-label--type-inline'>3:15 PM to 3:45 PM<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_68_47\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Please select any time frames you\u2019re available for private lessons. This helps us match you with an instructor and reserve pool space that fits your schedule.  Evening Private Lesson Options Include:<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_68_47'><div class='gchoice gchoice_68_47_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.1' type='checkbox'  value='5:15 PM to 5:45 PM'  id='choice_68_47_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_47_1' id='label_68_47_1' class='gform-field-label gform-field-label--type-inline'>5:15 PM to 5:45 PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_47_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.2' type='checkbox'  value='5:30 PM to 6:00 PM'  id='choice_68_47_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_47_2' id='label_68_47_2' class='gform-field-label gform-field-label--type-inline'>5:30 PM to 6:00 PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_47_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.3' type='checkbox'  value='5:45 PM to 6:15 PM'  id='choice_68_47_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_47_3' id='label_68_47_3' class='gform-field-label gform-field-label--type-inline'>5:45 PM to 6:15 PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_47_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.4' type='checkbox'  value='6:00 PM to 6:30 PM'  id='choice_68_47_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_47_4' id='label_68_47_4' class='gform-field-label gform-field-label--type-inline'>6:00 PM to 6:30 PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_47_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.5' type='checkbox'  value='6:15 PM to 6:45 PM'  id='choice_68_47_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_47_5' id='label_68_47_5' class='gform-field-label gform-field-label--type-inline'>6:15 PM to 6:45 PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_47_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.6' type='checkbox'  value='6:30 PM to 7:00 PM'  id='choice_68_47_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_47_6' id='label_68_47_6' class='gform-field-label gform-field-label--type-inline'>6:30 PM to 7:00 PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_68_47_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.7' type='checkbox'  value='6:45 PM to 7:15 PM'  id='choice_68_47_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_68_47_7' id='label_68_47_7' class='gform-field-label gform-field-label--type-inline'>6:45 PM to 7:15 PM<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_68_19\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_68_19'>Notes, Concerns, Ideas, or Instructor Requests:<\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_68_19' type='text' value='' class='large'  aria-describedby=\"gfield_description_68_19\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_68_19'>Use this space to share anything that will help us better support your swimmer\u2019s experience.\nWhether you have specific goals, instructor preferences, scheduling concerns, or creative ideas\u2014we\u2019re here to listen and collaborate. Your input helps us create a personalized and positive environment for every lesson.<\/div><\/div><div id=\"field_68_27\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_68_29\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_68_29'>Credit Card Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_68_29' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_68_31\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_68_31'>Name On Card<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_68_31' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_68_32\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_68_32'>Expiration Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_68_32' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_68_33\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_68_33'>CVV<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_68_33' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_68_35\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_35.1' id='input_68_35_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_68_35_1' >I agree to assume full risk and release all claims I and\/or the participants may have against the Fayetteville Athletic Club (FAC), including it&#8217;s agents, servants, and employees, from such claims resulting from injury, damages or loss sustained during participation in any FAC program or event.  I understand that I am responsible for all personal medical insurance and the participant&#8217;s family must cover any cost incurred.  I also understand that every precaution is taken to protect the safety of all participants.  I agree to any emergency treatment by a physician or hospital in the event that the emergency contact can not be reached.<\/label><input type='hidden' name='input_35.2' value='I agree to assume full risk and release all claims I and\/or the participants may have against the Fayetteville Athletic Club (FAC), including it&#039;s agents, servants, and employees, from such claims resulting from injury, damages or loss sustained during participation in any FAC program or event.  I understand that I am responsible for all personal medical insurance and the participant&#039;s family must cover any cost incurred.  I also understand that every precaution is taken to protect the safety of all participants.  I agree to any emergency treatment by a physician or hospital in the event that the emergency contact can not be reached.' class='gform_hidden' \/><input type='hidden' name='input_35.3' value='17' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_68_36\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Attendance &amp; Makeup Policy<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_36.1' id='input_68_36_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_68_36_1' >If your swimmer is unable to attend a scheduled lesson, makeup lessons will not be offered. When scheduling a swim lesson, you are reserving both the instructor\u2019s time and dedicated pool space. These resources are carefully coordinated to ensure a consistent, high-quality experience for every swimmer. We appreciate your understanding and cooperation as we work to maintain fairness and reliability for all families and staff.<\/label><input type='hidden' name='input_36.2' value='If your swimmer is unable to attend a scheduled lesson, makeup lessons will not be offered. When scheduling a swim lesson, you are reserving both the instructor\u2019s time and dedicated pool space. These resources are carefully coordinated to ensure a consistent, high-quality experience for every swimmer. We appreciate your understanding and cooperation as we work to maintain fairness and reliability for all families and staff.' class='gform_hidden' \/><input type='hidden' name='input_36.3' value='17' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_68_49\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Inclement Weather Policy<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_49.1' id='input_68_49_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_68_49_1' >In the event of inclement weather, a makeup lesson or lesson credit will be applied to your account. 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