2020 Winter Swimming: H20 Fitness Academy
Register here to swim with H2O Fitness Academy in Winter 2020 (May - October)
Swimmers First Name *
Your answer
Swimmers Surname *
Your answer
Date of Birth (check formatting when answering) *
MM
/
DD
/
YYYY
Age (as of 1st May) *
Your answer
Gender *
Address *
Your answer
Suburb *
Your answer
Post Code *
Your answer
Best contact phone number *
Your answer
Email Address (note this will be used for all communication) *
Your answer
Parent/ Guardian/ Emergency Contact Name *
Your answer
Parent/ Guardian/ Emergency Contact Phone (best contact) *
Your answer
Club Membership *
Required
Swimming Level (for swimmers aged 13yrs and below) Note - you may be required to provide proof of certificate *
Your answer
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