DNA Aquatics Holidays Block Intensive Swimming Lessons
Fill out registration on this form for all swimmers
BLOCKS Information and T&C's
🌞 Summer Holiday Intensive BLOCKS — Fast-Track Swim Progress! Our popular Summer Holiday Intensive BLOCKS are the perfect way to boost your child’s swimming skills with daily lessons in a fun, focused environment.💦 Choose your preferred BLOCKS below — or book and pay for all 4 BLOCKS for just $200! That’s 20 lessons for only $10 each! Important Booking Information: Transfers: BLOCKS are transferable to another BLOCK with at least 48 hours’ notice. Cancellations: A 50% cancellation fee applies if you cancel within 48 hours (by Friday) before the start of your BLOCK. No Shows: Full payment is forfeited for non-attendance. Make-ups: No make-up lessons are available for missed sessions. Weather Policy: We swim rain or shine! Lessons are only cancelled during storms for safety.
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Birth Date
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Student Name
First Name
Last Name
Birth Date
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Age
Age at time of Block
Student Name
First Name
Last Name
Birth Date
Please select a month
January
February
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Year
Age
Age at time of Block
Student Name
First Name
Last Name
Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
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Day
Please select a year
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2025
2024
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2022
2021
2020
2019
2018
2017
2016
2015
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Age at time of Block
Parent/Guardian Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State
Post Code
Email
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example@example.com
Mobile Number
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Format: (000) 000-0000.
Please select the Blocks you are booking at KEPNOCK POOL $60 per BLOCK
BLOCK 1. Mon-Tues-Wed-Thurs-Fri 15/12-19/12
BLOCK 2. Mon-Tues-Wed-Thurs-Fri 5/1 - 9/1
BLOCK 3. Mon-Tues-Wed-Thurs-Fri 12/1 - 16/1
BLOCK 4. Mon-Tues-Wed-Thurs-Fri 19/1 - 23/1
Please give preference to time (we will try our best to get the time you need)
7:30am
8am
8:30am
9am
9:30am
10am
10:30am
11am
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DNA Aquatics Student - Level
Levels
New Student - Level
Level at another swim school, school swimming or water comfort Info
Please provide any additional information that would be helpful in finding the right class and swim teacher for your swimmer. If already a DNA student you may request a teacher:
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