Inclusive Swim 1:1 Sessions at Waterworld - Expression of Interest Form
Inclusive Swim are looking to deliver 1:1 Inclusive Swim sessions at Waterworld Aquatic Centre. Please fill out this expression of interest form if you would like to look at booking a 1:1 Inclusive Swim session. Proposed day - Tuesday afternoon/evenings - Sessions would be $67 per session. *pool entry to be paid direct to the pool.
Name of person filling out this form
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: 0000000000.
Name of participant
First Name
Last Name
Date of birth of participant
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
What time of the day would you prefer to book your session? (please select all that apply) please note: sessions are 30 minute session
*
4:00pm
4:30pm
5:00pm
5:30pm
6:00pm
6:30pm
What is the reason you are looking for 1:1 sessions?
*
Any other information you feel would be useful to share with us.
Submit
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