Home Find A Swim Instructor swim your best at acacGet 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!Please enable JavaScript in your browser to complete this form.Your Name *First NameLast NameEmail *EmailConfirm EmailPhone *Are you an active ACAC Member? *YesNoClub Location *Choose OneCharlottesville (Albemarle Square)Charlottesville (Crozet Park Aquatics & Fitness Center)Charlottesville (Downtown)Charlottesville (Adventure Central)Richmond (Midlothian)Richmond (Short Pump)West Chester (McDermott Drive)Number of Swimmers * Swimmer Swimmers Swimmer 1Swimmer 1 | Name *Swimmer 1 | Age *Swimmer 1 | Date of Birth *Swimmer 1 | Lesson Type *Choose OneInfantDolphin Swim School (youth)Private (youth)Semi-private (youth)Group (youth)AdultSwim TeamSwimmer 1 | Skills (select all that apply) *Unfearful of waterEasily wet face/blow bubblesSubmerge body under waterKick without assistanceBreathe on sidePerform basic swim strokesFloat without assistance/flotation deviceSwim under water for 15+ secondsSwimmer 2Swimmer 2 | Name *Swimmers 2 | Age *Swimmer 2 | Date of Birth *Swimmer 2 | Lesson Type *Choose OneInfantDolphin Swim School (youth)Private (youth)Semi-private (youth)Group (youth)AdultSwim TeamSwimmer 2 | Skills (select all that apply) *Unfearful of waterEasily wet their face and/or blow bubbles in the waterSubmerge their bodies under the waterFloat without assistance or flotation deviceKick without assistanceSwim under water for 15 seconds or moreBreathe on sidePerform basic swim strokesAvailabilityPreferred Days *MondaysTuesdaysWednesdaysThursdaysFridaysSaturdaysSundaysMondays *Early MorningsLate MorningsAfternoonsEveningsTuesdays *Early MorningsLate MorningsAfternoonsEveningsWednesdays *Early MorningsLate MorningsAfternoonsEveningsThursdays *Early MorningsLate MorningsAfternoonsEveningsFridays *Early MorningsLate MorningsAfternoonsEveningsSaturdays *Early MorningsLate MorningsAfternoonsEveningsSundays *Early MorningsLate MorningsAfternoonsEveningsAdditional comments or questions:Submit
