Please fill out all required fields.
Child’s / participant’s first name *
Age *
E-Mail *
Phone number *
How long has the uncertainty in the water been present? *
- please choose - Since childhood For some time just recently Not exactly sure
In which situations do you or your child feel uncomfortable in the water? *
- please choose - Putting the head under water Letting go (e.g. of the pool edge or the pool floor) Deep water Fear of losing control Allgemeines Unbehagen im Wasser Anderes
Have you or your child had any previous swimming lessons? *
- please choose - Yes, positive experiences Yes, mostly negative experiences No, not yet
Preferred lesson type *
- please choose - Private lesson Duo lesson (e.g. siblings or friends) Not sure yet
Preferred times
Is there anything I should know in advance to support you or your child in the best possible way?
I agree to the processing of the data provided as well as to the privacy policy. By submitting this request, I confirm that I have read and accept the terms and conditions. *