Prerequisite Questionnaire
Guardian's Name
*
Swimmer's Name
*
Swimmer's Age
*
Email
*
We will communicate further instructions to this email.
Have you signed up for a trial class with any other club in Victoria?
*
Yes
No
If 'Yes', please state the club name.
A swimmer is capable of swimming 25 meters in freestyle unassisted.
*
Yes
No
Maybe
A swimmer is capable of swimming 25 meters in breaststroke unassisted.
*
Yes
No
Maybe
A swimmer is capable of swimming 25 meters in backstroke unassisted.
*
Yes
No
Maybe
A swimmer is capable of swimming 25 meters in butterfly unassisted.
Yes
No
Maybe
How many come and try sessions would you like to attend?
One
Two
Three
Thank you for your interest in Golden Fish Synchronised Swimming Program.
Submit
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