swim your best at acac Get Matched Today Thank you for your interest in aquatics programming at acac. Please fill in your information below, and we will get back to you shortly with options to move forward! Swim Lesson Interest Form Your Name(Required) First Last Email(Required) Phone(Required)Are you an active ACAC member?(Required) Yes No Club Location(Required)Choose OneCharlottesville (Adventure Central)Charlottesville (Albemarle Square)Charlottesville (Downtown)Charlottesville (Crozet Park Aquatics & Fitness Center)Richmond (Midlothian)Richmond (Short Pump)West Chester (McDermott Drive)Main Line (Sugartown Road)South Carolina (Five Forks)South Carolina (Greenville)Swimmer Name(Required) First Swimmer Age(Required)Swimmer Date of Birth(Required) MM slash DD slash YYYY Swimmer Lesson Type(Required)InfantDolphin Swim School (Youth)Private (Youth)Semi-Private (Youth)Group (Youth)AdultSwim TeamSwimmer Skills(Required) Unfearful of water Easily wet face/blow bubbles Submerge body under water Kick without assistance Breathe on side Perform basic swim strokes Float without assistance/ flotation device Swim under water for 15+ seconds Check all that applyDo you wish to enroll another swimmer in lessons?(Required) Yes No Swimmer 2 Name(Required) First Swimmer 2 Age(Required)Swimmer 2 Date of Birth(Required) MM slash DD slash YYYY Swimmer 2 Lesson Type(Required)InfantDolphin Swim School (Youth)Private (Youth)Semi-Private (Youth)Group (Youth)AdultSwim TeamSwimmer 2 Skills(Required) Unfearful of water Easily wet face/blow bubbles Submerge body under water Kick without assistance Breathe on side Perform basic swim strokes Float without assistance/ flotation device Swim under water for 15+ seconds Check all that applyPreferred Days of Availability Mondays Tuesdays Wednesdays Thursdays Fridays Saturdays Sundays Additional comments or questions:CAPTCHA
