Toddler with toys

Enrolment Form for Swimmers

Places: How many swimmers do you want to enrol?

    Parent Name

    Address

    Suburb

    Postcode

    Parent Email

    Parent Mobile Number

    If a carer will bring your child to lessons, please complete below:

    Name

    Carer Mobile Number

    Please provide Emergency contact information (other than yourself):

    Kattya with toddler in the water