Swim Lessons 5-16years
Swim lessons are $120 for 12 weeks, full payment is required 2 weeks before swim lessons start. Until payment is received your place is not guaranteed. Please pay TE KAUWHATA HEALTH AWARENESS SOCIETY 03 1574 0007521 000. Please use your child’s name and swim lessons as reference. IF YOU DO NOT RECIEVE AN EMAIL REPLY BACK FROM US PLEASE CHECK YOUR JUNK MAIL.
Child’s name
*
First Name
Last Name
Please tell us your child's gender
Girl
Boy
Other
Parents name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
Child’s birth date
-
Month
-
Day
Year
Date
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Child’s age
*
Child’s age at time of registration
Child’s swimming ability
Beginner - not confident can’t do any swim stroke
Junior - some confidence can put head under water, treads water
Intermediate - starting freestyle and back stroke with some breathing techniques
senior - can do all strokes with correct breathing techniques
My child did swim lessons last year at TK fitness
Yes
No
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