Aquatic Survival Skills Booking Form

Kia ora and thank you for your interest in the Aquatic Survival Skills Trust's free water safety programme.

Our lessons are designed to teach essential survival skills that could save lives in pools, rivers, lakes, and the ocean. Please complete the form below to book a program for your school. It only takes a few minutes, and we'll be in touch soon to confirm availability.

If you have any questions, feel free to contact us at bookings@aquaticsurvivalskills.nz.

Ngā mihi nui,

The Aquatic Survival Skills Team

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Email *
School Name
School Address
Contact Person Name 
Contact Person Role
e.g. Classroom teacher, PE coordinator, Principal
Email Address
Phone Number
Preferred Term for Programme Delivery
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Preferred Weeks or Dates (if known)
e.g. "Week 3 and 4 of Term 1" or specific dates
Approximate Number of Years 5/6 Students
Do you have access to a pool for lessons?
Clear selection
If you use a local pool, which pool do you plan to use?
Any other details or questions?
Use this space to tell us anything else that might help with planning your schools booking.
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