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Parent's First Name
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Family Surname
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Your Email
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Mobile Phone
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List your Child Name/s and age
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Lesson or Squad level - tick all that apply:
Infant Aquatic Lessons - 15m Indoor Heated Pool
Learn To Swim Lessons - 15m Indoor Heated Pool
Junior Squad Coaching - 25m Outdoor Heated Pool
Dolphin Squad Training - 25m Outdoor Heated Pool
Preferred Lesson/Squad days - tick all that apply
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Preferred Lesson times for Infant Aquatics and Learn To Swim (Leave blank if not applicable)
7am-7:30am
7:30am-8am
8am-8:30am
8:30am-9am
9am-9:30am
9:30am-10am
10am-10:30am
10:30am-11am
3pm-3:30pm
3:30pm-4pm
4pm-4:30pm
4:30pm-5pm
Preferred Junior Squad Coaching and Dolphin Training Times (Leave blank if not applicable)
Mornings only
Afternoons Only
Mornings and Afternoons
Other Questions or Comments
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NEW ENROLMENT FORM TERM 4 2020.pdf