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Booking Form
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Name
*
Contact Phone
*
Email
*
Address
Childs Name
Childs Date of Birth
*
Can your child do any of the following?
Go right under the water?
Float without assistance?
6 big arm circles with kicking on front and back?
Swim 15m on Freestyle and Backstroke?
Started swimming Breaststroke and Butterfly?
Can tumble turn while swimming 100 – 200m?
How did you hear about us?
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School
Pamphlet
Other
Please indicate 2 days that are your preference for lessons
Mon
Tue
Wed
Thu
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Sat
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