New Customer Enquiry Form
Parent Details
Name
*
First Name
Last Name
Athlete Details:
Full Name of athlete
*
First Name
Last Name
Date of Birth
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
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How many sessions per week are you looking to train?
*
What is your CURRENT training schedule?
*
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Do you currently or have you ever had a National qualifying times?
*
Yes
No
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Please list below National times that you currently hold or have previously held and in what Age group.
*
Please click yes to continue
*
Yes
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Do you currently or have you ever had a State qualifying times?
*
Yes
No
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Please list below all State times that you currently hold or have previously held and in what Age group.
*
Please click yes to continue?
*
Yes
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Do you currently or have you ever had any Junior Excellence Times
*
Yes
No
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Please list below all JX times that you currently hold or have previously held and in what Age group.
*
Please click yes to continue?
*
Yes
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Can you swim 100M Freestyle, backstroke, breaststroke and 50m Butterfly?
*
Yes
No
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Based on your answers you may qualify for our National stream of squads. A coach will be in touch to discuss a trial.
Do you consent for a National Stream coach to contact you regarding your squad placement
*
Yes
No
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Based on your answers you may qualify for our State stream of squads. A coach will be in touch to discuss a trial.
Do you consent for a State Stream coach to contact you regarding your squad placement
*
Yes
No
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Based on your answers you may qualify for our Club stream squads (Woodhouse & Smith). At this time these squads are full. You have been automatically placed on a waitlist to be contacted when our next Squad trial is conducted. Should you have any questions please email info@nunaswim.com
Do you wish to be booked into the next Squad trial session
*
Yes
No
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Based on your answers you do not currently qualify to join the Nunawading swimming Club squads. However Nunawading swimming Club provides Mini squads and higher levels of learn to swim through our Just Swimming Business
Do you agree to Just Swimming contacting you to discuss your child's swimming needs
*
Yes
No
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Thank you for contacting Nunawading Swimming Club
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