Swim Lesson Registration Form
Swimmer's Name
First Name
Last Name
Swimmer's Birthday
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Month
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Day
Year
Date
Swimmer's Name
First Name
Last Name
Swimmer's Birthday
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Month
-
Day
Year
Date
Swimmer's Name
First Name
Last Name
Swimmer's Birthday
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Month
-
Day
Year
Date
Parent Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Do you receive whatsapp at this number? *Only used for notifications, communications and invoicing
*
Yes
No
Please Select your Preferred Day to pay fees
*
25th
1st
Please Select your Preferred sessions. R100 Yearly fee applicable.
*
Parent tot/baby class R550pm
Learn to swim from 3yr R550pm
Adult swim R550pm
Sibling discount R495pm each
Term pricing R1495 each
Creche morning swim R450pm
15min per week R380pm
Per lesson classes R160p/lesson
Please Select your Preferred Days
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please click yes if you will give permission to have photographs of your child taken
Yes
No
How did you find us?
*
Sign
Flyer
Google/Other search engine
Facebook
Friend
Other
If you were referred by a friend please let us know who, so we can thank them and give them a small commission!
First Name
Last Name
Terms and conditions
Fees to be paid no later by the 1st of each month.
Monthly Fees are for a normal 4 week month the 5th week will go towards public or western cape school holidays.
R150 yearly enrolment fee
Fees still payable even if your child is sick.
One calander month notice must be given if you wish to stop lessons.
No notice in the 4th term will be accepted
One adult to be accompanied with learner.
5 -10% increase each year
Full fee in July, Dec and Jan
Swimming cap is a must from 3years +
Signature
Submit Form
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