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Booking
Booking Form
Name
*
Contact Phone
*
Email
*
Address
Childs Name
Childs Date of Birth
*
Can your child do any of the following?
Go right under the water?
Swim 15m of Freestyle and Backstroke?
Float on front without assistance?
Swim 30m of Freedtyle and Backstroke?
Float on back without assistance?
Started swimming Breaststroke and Butterfly?
Roll from front to back and back to front with kicking?
Can tumble turn while swimming 100 – 200m?
6 big arm circles with kicking on front and back?
What are you wanting to book for?
Term 1
Term 2
Term 3
Term 4
Sept/Oct holiday programme
Please indicate 3 days that are your preference for lessons
Mon
Tue
Wed
Thu
Fri
Sat
How did you hear about us?
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Internet
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School
Pamphlet
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