Your Name

Child's Name

Child Age

Phone Number

Email Address

Enquiry Enquiry Swimming Lessons Swimming Intensives School Holiday Programs Parties Other Programs

Preferred Day

Preferred Time

Program Type Program Type Surf Skills Beginner Surf Skills Intermediate

Program Name Program Name Open Water SwimFIT Sunny Skyes Squad Other (please detail in comments below)

Intensive Date Intensive Date Autumn Winter Spring Summer

Type of Party/Theme (if any)

Party Date

Party Location

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