Liquid Swim Enrolment Form
Please complete the following form to assist us in understanding your needs for swimming lessons.
Email address *
Parent/Caregiver name *
Your answer
Phone *
Your answer
Email *
Your answer
Address (where lessons will take place) *
Your answer
What are you looking for out of swimming lessons? *
Your answer
Preferred days for lessons *
Required
Preferred time for lesson *
Your answer
Duration of lesson *
Child 1 name *
Your answer
Child 1 age *
Your answer
Child 1 swimming experience/level *
Your answer
Child 2 name
Your answer
Child 2 age
Your answer
Child 2 swimming experience/level
Your answer
Child 3 name
Your answer
Child 3 age
Your answer
Child 3 swimming experience/level
Your answer
Child 4 name
Your answer
Child 4 age
Your answer
Child 4 swimming experience/level
Your answer
Additional participants
Your answer
Additional Information
Your answer
A copy of your responses will be emailed to the address you provided.
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