Select Preferred Location

    *Select Session

    *Select preferred day

    *Preferred time

    *Preferred time

    *Select Session

    *Select preferred day

    *Preferred time

    *Preferred time

    Swimmer's details

    *First name

    *Surname

    *Date of birth

    Gender

    *Emergency phone number

    *Swimmer's Email

    Parent/Guardian details

    *Parent/Guardian 1 full name

    *Parent/Guardian 2 full name

    *Primary Email address

    *Address

    *Primary phone number

    *Secondary phone number

    *Parent ID card number


    Health Conditions

    *Does your child have any special needs?

    *Please specify

    *Does your child suffer from any medical condition?

    *Please specify

    Terms and conditions

    *By agreeing to the Terms and Conditions, participants and parents/guardians (in the case of minors) are accepting the following conditions:
    By participating in the program, individuals and parents/guardians acknowledge and agree to abide by these conditions.
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