Zen Penguin Swim School

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Ready to sign up?

Fill out the form below, and we will be in touch with you shortly to get you on the schedule!

First name of parent *

Last name of parent *

Email *

Phone *

Swimmer 1 Name *

Swimmer 1's Date of Birth *

Swimmer 1 Skills (Please check all the swimmer can do CONFIDENTLY) *

Get in water without parent

Put face in water

Backfloat Independently

Streamline Independently

Pick up toys from the bottom of the pool unassisted

Freestyle

Backstroke

Breaststroke

Butterfly

None of the above

In the water, Swimmer 1 is: *

Anxious/Nervous

Enthusiastic/Splashy

Chill/Calm

Is there anything else we should know about Swimmer 1? Please list any relevant experience, diagnosis, disabilities or behavioral information that can help us make sure your child is accommodated appropriately from the first class! *

Swimmer 2's Name

Swimmer 2's Date of Birth

Swimmer 2 Skills (Please check all the swimmer can do CONFIDENTLY)

Get in water without parent

Put face in water

Backfloat Independently

Streamline Independently

Pick up toys from the bottom of pool unassisted

Freestyle

Backstroke

Breaststroke

Butterfly

None of the above

In the water, Swimmer 2 is:

Anxious/Nervous

Enthusiastic/Splashy

Chill/Calm

Is there anything else we should know about Swimmer 2? Please list relevant experience, diagnosis, or behavioral information that can help us make sure your child is accommodated appropriately from the first class!

What type of lessons are you interested in? *

Semi-Private (2 students) $260 per swimmer per month

One on One Lessons (1 student) $390 per swimmer per month

Private Pool Lessons (1 student) $600 per swimmer per month (currently on a waitlist)

What day(s) work best for your family? *

Monday

Tuesday

Wednesday

Thursday

Saturday

Sunday

What times work best for your family? (note - the more flexible you are, the more likely we'll be able to get you in!) *

How did you hear about us? *

Additional info

I agree to terms & conditions provided by the Zen Penguin Swim School. By providing my phone number and email, I agree to receive text messages and emails from the business.

12029 NE Ainsworth Cir #100, Portland, OR 97220

((971) 373-6649