aquaDucks Registration Form - Hollandse Club
Please complete one registration form per student

Sign in to Google to save your progress. Learn more
Email *
Swimming fee
Monthly Swimming fee’s 2024 (prices below incl. 9% GST)
Babies and Toddlers/ Preschool/ Learn to Swim
Weekday lesson 1x per week: $140 per month
Weekend lesson 1x per week:  $160 per month
Additional 2nd lesson on weekday : $50 per month
Stroke and Development (CD1/2)
Training 2x per week: $160 per month
Competitive training  (CD3/4)
Training up to 7x per week: $160 per month (Fixed)
Adults Swim Training  (Monday 7:30pm, Tuesday 9am, Friday 9am, 60 min training)
Swim training 3x per week: $132.50 per month 
Couple price : $177.50,- per month (new!)
Adults Swimming lesson  (Tuesday 10am, Friday 10am - 45 min lesson)
Swim training 2x per week: $132.50 per month
Helpers Swimming lesson  (Tuesday/ Friday 10am  - 45min lesson)
1x per week: $80 per month

Please state if your child is rejoining or a new student *
Please tick *
Date of Birth *
Student Name:First / Last name *
Email *
Please double-check your email to make sure it is accurate.
Mobile Number *
Please note this number will be used as the emergency contact.
HC Membership Number (FULL - including alphabets) *
Medical History (Confidential) [Skip if Rejoin]
Do advice us on your child's swimming ability. [Skip if Rejoin]

1) Able to swim without parent assistance?

2) Able to Swim any strokes?                                    Freestyle / Breaststroke / Backstroke / Butterfly

3) What’s the average distance or laps?                 _ metres / __ laps

Parent's First/last Name [Skip if Rejoin]
Desired Starting Day *
Does your child need to achieve the Dutch ABC Diploma? *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy