Pre-registration Form

First Name *

Last Name *

Address

Suburb

Postcode

Phone *

Email *

How did you hear about us? *

First Name

Last Name

Date of Birth *

Gender *

MaleFemale

Child's Swimming Experience Level *

Program or Event

Preferred Day *

MondayTuesdayWednesdayThursdayFridaySaturday

Preferred Time *

MorningAfternoon

Disclaimer Form Terms Agreement *

I acknowledge that I have fully read and understood the Swim HQ Liability Waiver / Disclaimer & course policy (located at the bottom of our Programs page). I understand that if I have any questions or concerns about this policy, it is my responsibility to discuss this with the instructor.I acknowledge that I have fully read and understood the Swim HQ Payment, Cancellation & Class Make-up Policy

Pre-registration Form

Swim HQ Pre-register Form

PARENT INFORMATION

Child's Details

Verification