Book a Consultation
Find out more about our swimming program!
Full Name
First Name
Last Name
Contact Number
Please enter a valid phone number.
Email Address
example@example.com
Pool Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is the best time of day to contact you on weekdays?
*
9am-11am
12p-3pm
4pm-6pm
Which is your preferred contact method?
*
Phone Call
Text Message
Email
Which program are you interested in?
*
Baby & Me (Ages 3mths -16 mths)
Preschool (Ages 17mths - 5 years)
Learn-to-Swim (Ages 6+ years)
Stroke Development (All Ages)
Adults (18+)
Family Learn-to-Swim
Are you redeeming a Water Smart Program Voucher?
Yes
No
Do you have access to a pool?
Yes
No
Number of Swimmers:
Preferred days for lessons
*
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred time of day for lessons:
*
Mornings
Afternoons
Evenings
Flexible
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