Booking – Ally Todd Swimming

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?

Please indicate 2 days that are your preference for lessons