The below enrolment form is for ‘Swimming Lessons’ only. Please fill in all the fields and we will be in touch very soon.Please enable JavaScript in your browser to complete this form.Parent/Guardian 1 *FirstLastTelephone *Email *Parent/Guardian 2FirstLastTelephoneEmailChild 1 *FirstLastPreferred days available for lessons? *MONDAYTUESDAYWEDNESDAYTHURSDAYFRIDAYSATURDAYDate of birth *Gender *BoyGirlChild 2FirstLastPreferred days available for lessons?MONDAYTUESDAYWEDNESDAYTHURSDAYFRIDAYSATURDAYDate of birthGenderBoyGirlChild 3FirstLastPreferred days available for lessons?MONDAYTUESDAYWEDNESDAYTHURSDAYFRIDAYSATURDAYDate of birthGenderBoyGirlChild 4FirstLastPreferred days available for lessons?MONDAYTUESDAYWEDNESDAYTHURSDAYFRIDAYSATURDAYDate of birthGenderBoyGirlDoes your child/ren have any extra learning needs that will help when grouping them into an appropriate class?Additional comments/Questions? (Medical)Terms & Conditions *I have read and agree to the Phillip Island Swim School terms and conditionsPhoneEnrol now
