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Register a New Swimmer
Please complete this form before your child attends their first lesson.
If you are registering two or more children, please put both of their first names in the first box.
Child's First Name
Child's Last Name
Child's Date Of Birth
*
required
Parent/Guardian’s First Name
Parent/Guardian’s Last Name
Email Address
Mobile Phone
Does your child have any additional needs or medical conditions that we need to be aware of?
How did you hear about us?
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Required
Search engine (Google)
Word of mouth
Facebook
Flyers or Posters
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Newspaper
Other
I accept terms & conditions
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Submit
Thanks for registering a new swimmer - we'll see you soon!
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