PBA Elite Lesson Program Application:

Please fill out application if you would like to be considered for a spot in the 2025/26 Elite Program. We are limited to 10 spots total across both Pre-Senior and Senior Swimmers.

Please reach out with any questions.

paul@paulbirichaquatics.com
(415) 259-9512 call or text

1317 Butterfield rd
San Anselmo,Ca

Name

First Name

Last Name

Phone

(###)

###

####

Group Selection

Pre Senior or Senior

Swimmers Name

First Name

Last Name

Current Swim Team

Short Term Swimming Goals

Long Term Swimming Goals

PBA Elite Lesson Program Application:

PBAquatics