• SAN Private Waitlist Form

• Name (parent)*
  First NameLast Name
• Email (parent)*
  example@example.com
• Phone number (parent)*
• Are you interested in private lessons?*
  YesNo, please remove me from the waiting list
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• How many people do you wish to enrol in privates?*
  123Other
• If possible, would you like the swimmers to share one teacher, or be in separate classes, each with their own teachers?*
  One classSeparate classes
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• Swimmer name(s)*
• Swimmer age(s)*
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• Current Pricing List

  for reference
• 
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• Are you interested in private lessons at the PEGS Juniors Boys campus? (49 Raleigh St, Essendon)*
  YesNo
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• Hypothetically, in which of the following timeslots would you (or your child) be able to attend a private lesson at PEGS this term? We will ONLY reach out to you for openings that you tick below, and will aim to ask if your availability changes at the start of each term.*
  None of these options suit meMonday 6:00-6:30pmMonday 6:30-7:00pmMonday 7:00-7:30pmTuesday 4:00-4:30pmTuesday 4:30-5:00pmTuesday 5:00-5:30pmTuesday 5:30-6:00pmTuesday 6:00-6:30pmTuesday 6:30-7:00pmTuesday 7:00-7:30pmWednesday 5:30-6:00pmWednesday 6:00-6:30pmWednesday 6:30-7:00pmWednesday 7:00-7:30pmThursday 4:00-4:30pmThursday 4:30-5:00pmThursday 5:00-5:30pmThursday 5:30-6:00pmThursday 6:00-6:30pmThursday 6:30-7:00pmThursday 7:00-7:30pmSaturday 9:00-9:30amSaturday 9:30-10:00amSaturday 10:00-10:30amSaturday 10:30-11:00amSaturday 11:00-11:30amSaturday 11:30am-12:00pmSaturday 12:00-12:30pm
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• Are you interested in private lessons at Melbourne Uni? (Beaurepaire Centre, 101 Tin Alley, Parkville)*
  YesNo
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• Hypothetically, in which of the following timeslots would you (or your child) be able to attend a private lesson at Melbourne Uni this term? We will ONLY reach out to you for openings that you tick below, and will ask if your availability changes at the start of each term.*
  None of these options suit meMonday 4:00-4:30pmMonday 4:30-5:00pmMonday 5:00-5:30pmMonday 5:30-6:00pmMonday 6:00-6:30pmMonday 6:30-7:00pmMonday 7:00-7:30pmTuesday 4:00-4:30pmTuesday 4:30-5:00pmTuesday 5:00-5:30pmTuesday 5:30-6:00pmTuesday 6:00-6:30pmTuesday 6:30-7:00pmTuesday 7:00-7:30pmWednesday 4:00-4:30pmWednesday 4:30-5:00pmWednesday 5:00-5:30pmWednesday 5:30-6:00pmWednesday 6:00-6:30pmWednesday 6:30-7:00pmWednesday 7:00-7:30pmThursday 4:00-4:30pmThursday 4:30-5:00pmThursday 5:00-5:30pmThursday 5:30-6:00pmThursday 6:00-6:30pmThursday 6:30-7:00pmThursday 7:00-7:30pmFriday 4:00-4:30pmFriday 4:30-5:00pmFriday 5:00-5:30pmFriday 5:30-6:00pmFriday 6:00-6:30pmFriday 6:30-7:00pmSaturday 9:00-9:30amSaturday 9:30-10:00amSaturday 10:00-10:30amSaturday 10:30-11:00amSaturday 11:00-11:30amSaturday 11:30am-12:00pmSaturday 12:00-12:30pm
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• Do you have any notes to add? (special needs, requests, questions, etc.)
• Submit
• Should be Empty: