{"id":11543,"date":"2023-05-03T21:12:19","date_gmt":"2023-05-03T21:12:19","guid":{"rendered":"https:\/\/high5inc.org\/?page_id=11543"},"modified":"2026-01-08T11:40:24","modified_gmt":"2026-01-08T15:40:24","slug":"private-lesson-request","status":"publish","type":"page","link":"https:\/\/high5inc.org\/es\/private-lesson-request\/","title":{"rendered":"Private Lesson Request"},"content":{"rendered":"<div id=\"cs-content\" class=\"cs-content\"><div class=\"x-section e11543-e1 m8wn-0 m8wn-1\"><div class=\"x-bg\" aria-hidden=\"true\"><div class=\"x-bg-layer-lower-image\"><\/div><\/div><div class=\"x-row x-container max width e11543-e2 m8wn-3 m8wn-4 m8wn-5 m8wn-8 m8wn-9\"><div class=\"x-row-inner\"><div class=\"x-col e11543-e3 m8wn-c m8wn-d\"><div class=\"x-text x-text-headline e11543-e4 m8wn-e\"><div class=\"x-text-content\"><div class=\"x-text-content-text\"><h1 class=\"x-text-content-text-primary\">Private Lesson Request<\/h1>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"x-section e11543-e5 m8wn-0 m8wn-2\"><div class=\"x-row x-container max width e11543-e6 m8wn-3 m8wn-4 m8wn-6 m8wn-a\"><div class=\"x-row-inner\"><div class=\"x-col e11543-e7 m8wn-d\"><div class=\"x-text x-content e11543-e8 m8wn-f\"><h5>PRICING:<\/h5>\n<p>Regular Instructor - $45<\/p>\n<p>Elite Instructor - $50<\/p>\n<p>Blue Wave Head Coach - $60<\/p>\n<p><span style=\"font-size: 1em; letter-spacing: 0em;\">We will do our best to match your specified days and times. Please note that there may be times that due to space availability, we are unable to offer private lessons.<\/span><\/p>\n<p><span style=\"font-size: 1em; letter-spacing: 0em;\">Please complete the form below and a member of our team will contact you directly to schedule your private lesson.&nbsp;<\/span><\/p><\/div><\/div><\/div><\/div><div class=\"x-row x-container max width e11543-e9 m8wn-3 m8wn-5 m8wn-7 m8wn-8 m8wn-b\"><div class=\"x-row-inner\"><div class=\"x-col e11543-e10 m8wn-d\"><div class=\"x-form-integration x-form-integration-gravity-forms e11543-e11 m8wn-g\"><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar 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d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_18' ><form method='post' enctype='multipart\/form-data'  id='gform_18'  action='\/es\/wp-json\/wp\/v2\/pages\/11543' data-formid='18' novalidate> \r\n <input type='hidden' class='gforms-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/>\n                        <div class='gform-body gform_body'><div id='gform_fields_18' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_18_3\" class=\"gfield gfield--type-name gfield--input-type-name 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' >Contact 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_18_3'>\n                            \n                            <span id='input_18_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.3' id='input_18_3_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_18_3_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_18_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.6' id='input_18_3_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_18_3_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_18_4\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full 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_18_4'>Contact 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_4' id='input_18_4' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_18_5\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full 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_18_5'>Contact Phone Number<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_5' id='input_18_5' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_18_14\" 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_18_14'>Participant Name<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_14' id='input_18_14' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_18_15\" 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_18_15'>Participant Age<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_15' id='input_18_15' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_18_17\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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' >Has the participant taken swim lessons before?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_17'>\n\t\t\t<div class='gchoice gchoice_18_17_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='Yes'  id='choice_18_17_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_17_0' id='label_18_17_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_17_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='No'  id='choice_18_17_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_17_1' id='label_18_17_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_18_18\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required 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' >Participant&#039;s Previous Experience<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_18_18'><div class='gchoice gchoice_18_18_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.1' type='checkbox'  value='Group Lessons'  id='choice_18_18_1'   aria-describedby=\"gfield_description_18_18\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_18_18_1' id='label_18_18_1' class='gform-field-label gform-field-label--type-inline'>Group Lessons<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_18_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.2' type='checkbox'  value='Private Lessons'  id='choice_18_18_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_18_2' id='label_18_18_2' class='gform-field-label gform-field-label--type-inline'>Private Lessons<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_18_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.3' type='checkbox'  value='Swim Team'  id='choice_18_18_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_18_3' id='label_18_18_3' class='gform-field-label gform-field-label--type-inline'>Swim Team<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_18_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.4' type='checkbox'  value='Other'  id='choice_18_18_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_18_4' id='label_18_18_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_18_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.5' type='checkbox'  value='None'  id='choice_18_18_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_18_5' id='label_18_18_5' class='gform-field-label gform-field-label--type-inline'>None<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_18_18'>Select all that apply<\/div><\/fieldset><div id=\"field_18_19\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full 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_18_19'>Describe any past Aquatics experiences the participant has faced (positive or challenging):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_19' id='input_18_19' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_18_20\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_20'>If the participant previously taken swim lessons, is there anything about that experience you would like us to know or do differently?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_20' id='input_18_20' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_18_26\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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' >Does the participant have any special abilities, medical conditions, or support needs?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_26'>\n\t\t\t<div class='gchoice gchoice_18_26_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='Yes'  id='choice_18_26_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_26_0' id='label_18_26_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_26_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='No'  id='choice_18_26_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_26_1' id='label_18_26_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_12\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full 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_18_12'>How&#039;d you hear about us?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_12' id='input_18_12' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Instagram' >Instagram<\/option><option value='Word of mouth' >Word of mouth<\/option><option value='Facebook' >Facebook<\/option><option value='Billboard' >Billboard<\/option><option value='TikTok' >TikTok<\/option><option value='Email' >Email<\/option><option value='Osprey Observer' >Osprey Observer<\/option><option value='Friend or family referral' >Friend or family referral<\/option><option value='Streaming Platform' >Streaming Platform<\/option><option value='Community Event' >Community Event<\/option><option value='Indeed' >Indeed<\/option><option value='LinkedIn' >LinkedIn<\/option><option value='Google' >Google<\/option><\/select><\/div><\/div><div id=\"field_18_13\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_13'>To help enhance our marketing efforts, please share more about how you heard about us:<\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_18_13' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_18_21\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox 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' >Current Skill Level:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_18_21'><div class='gchoice gchoice_18_21_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.1' type='checkbox'  value='Advanced\/Competitive'  id='choice_18_21_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_21_1' id='label_18_21_1' class='gform-field-label gform-field-label--type-inline'>Advanced\/Competitive<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_21_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.2' type='checkbox'  value='Beginner\/Water Adjustment'  id='choice_18_21_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_21_2' id='label_18_21_2' class='gform-field-label gform-field-label--type-inline'>Beginner\/Water Adjustment<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_21_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.3' type='checkbox'  value='Can Swim Short Distances'  id='choice_18_21_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_21_3' id='label_18_21_3' class='gform-field-label gform-field-label--type-inline'>Can Swim Short Distances<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_21_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.4' type='checkbox'  value='Can Float Independently'  id='choice_18_21_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_21_4' id='label_18_21_4' class='gform-field-label gform-field-label--type-inline'>Can Float Independently<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_21_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.5' type='checkbox'  value='Comfortable in the Water'  id='choice_18_21_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_21_5' id='label_18_21_5' class='gform-field-label gform-field-label--type-inline'>Comfortable in the Water<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_21_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.6' type='checkbox'  value='Knows Basic Strokes'  id='choice_18_21_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_21_6' id='label_18_21_6' class='gform-field-label gform-field-label--type-inline'>Knows Basic Strokes<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_21_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.7' type='checkbox'  value='Needs Support'  id='choice_18_21_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_21_7' id='label_18_21_7' class='gform-field-label gform-field-label--type-inline'>Needs Support<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_21_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.8' type='checkbox'  value='Not Sure'  id='choice_18_21_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_21_8' id='label_18_21_8' class='gform-field-label gform-field-label--type-inline'>Not Sure<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_18_22\" 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' >Lesson Preferences<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_18_22'><div class='gchoice gchoice_18_22_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.1' type='checkbox'  value='Instructor-led'  id='choice_18_22_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_22_1' id='label_18_22_1' class='gform-field-label gform-field-label--type-inline'>Instructor-led<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_22_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.2' type='checkbox'  value='Coach-led'  id='choice_18_22_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_22_2' id='label_18_22_2' class='gform-field-label gform-field-label--type-inline'>Coach-led<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_22_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.3' type='checkbox'  value='Semi-Private (up to 3 participants)'  id='choice_18_22_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_22_3' id='label_18_22_3' class='gform-field-label gform-field-label--type-inline'>Semi-Private (up to 3 participants)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_23\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_23'>Preferred Instructor or Coach (if any)<\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_18_23' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_18_9\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full 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_18_9'>Instructor preference<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_9' id='input_18_9' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Select' >Select<\/option><option value='Regular instructor' >Regular instructor<\/option><option value='Elite level instructor' >Elite level instructor<\/option><option value='First available\/no preference' >First available\/no preference<\/option><\/select><\/div><\/div><fieldset id=\"field_18_24\" 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' >Availability<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_18_24'><div class='gchoice gchoice_18_24_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.1' type='checkbox'  value='Monday'  id='choice_18_24_1'   aria-describedby=\"gfield_description_18_24\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_18_24_1' id='label_18_24_1' class='gform-field-label gform-field-label--type-inline'>Monday<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_24_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.2' type='checkbox'  value='Tuesday'  id='choice_18_24_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_24_2' id='label_18_24_2' class='gform-field-label gform-field-label--type-inline'>Tuesday<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_24_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.3' type='checkbox'  value='Wednesday'  id='choice_18_24_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_24_3' id='label_18_24_3' class='gform-field-label gform-field-label--type-inline'>Wednesday<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_24_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.4' type='checkbox'  value='Thursday'  id='choice_18_24_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_24_4' id='label_18_24_4' class='gform-field-label gform-field-label--type-inline'>Thursday<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_24_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.5' type='checkbox'  value='Friday'  id='choice_18_24_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_24_5' id='label_18_24_5' class='gform-field-label gform-field-label--type-inline'>Friday<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_24_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.6' type='checkbox'  value='Saturday'  id='choice_18_24_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_24_6' id='label_18_24_6' class='gform-field-label gform-field-label--type-inline'>Saturday<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_24_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.7' type='checkbox'  value='Morning'  id='choice_18_24_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_24_7' id='label_18_24_7' class='gform-field-label gform-field-label--type-inline'>Morning<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_24_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.8' type='checkbox'  value='Afternoon'  id='choice_18_24_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_24_8' id='label_18_24_8' class='gform-field-label gform-field-label--type-inline'>Afternoon<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_24_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.9' type='checkbox'  value='Evening'  id='choice_18_24_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_24_9' id='label_18_24_9' class='gform-field-label gform-field-label--type-inline'>Evening<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_24_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.11' type='checkbox'  value='Flexible'  id='choice_18_24_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_24_11' id='label_18_24_11' class='gform-field-label gform-field-label--type-inline'>Flexible<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_18_24'>Preferred Days & Times (select all that apply)<\/div><\/fieldset><fieldset id=\"field_18_25\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox 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' >Goals &amp; End Goal<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_18_25'><div class='gchoice gchoice_18_25_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.1' type='checkbox'  value='Water Safety'  id='choice_18_25_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_25_1' id='label_18_25_1' class='gform-field-label gform-field-label--type-inline'>Water Safety<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_25_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.2' type='checkbox'  value='Learn to Swim'  id='choice_18_25_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_25_2' id='label_18_25_2' class='gform-field-label gform-field-label--type-inline'>Learn to Swim<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_25_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.3' type='checkbox'  value='Overcome Fear'  id='choice_18_25_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_25_3' id='label_18_25_3' class='gform-field-label gform-field-label--type-inline'>Overcome Fear<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_25_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.4' type='checkbox'  value='Stroke Improvement'  id='choice_18_25_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_25_4' id='label_18_25_4' class='gform-field-label gform-field-label--type-inline'>Stroke Improvement<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_25_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.5' type='checkbox'  value='Swim Team Preparation'  id='choice_18_25_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_25_5' id='label_18_25_5' class='gform-field-label gform-field-label--type-inline'>Swim Team Preparation<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_25_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.6' type='checkbox'  value='Competitive Training'  id='choice_18_25_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_25_6' id='label_18_25_6' class='gform-field-label gform-field-label--type-inline'>Competitive Training<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_25_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.7' type='checkbox'  value='Other'  id='choice_18_25_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_25_7' id='label_18_25_7' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_11\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_11'>Specific outcome you&#039;re hoping to achieve or any additional information you would like to share?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_18_11' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_18' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_18' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_18' id='gform_theme_18' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_18' id='gform_style_settings_18' value='[]' \/>\n    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