Swimming Club

Adult's Registration Form
Your Name*
First Last
Email*
Date of Birth*
Mobile No.
Home Tel No.
Your Address*
Street Address Unit/Suite City Zip
Have you been in a swimming pool:*
- Yes
- No
Can you swim:*
- Yes
- No
What would you like to achieve:
Class*
Email
This field is for validation purposes and should be left unchanged.

Child's Registration Form
Child Name*
Child's first name Child's last name
Date of Birth*
Please Tick One*
- Boy
- Girl
Email*
Name of Parent(s)/Guardian(s)*
Mobile No.
Home Tel No.
Your Address*
Street Address Unit/Suite City Zip
Has your child been in a swimming pool:*
- Yes
- No
Can your child swim:*
- Yes
- No
What swimming awards have they completed:
Class*
Name
This field is for validation purposes and should be left unchanged.