Complete this form to sign up to our waiting list. Parent/Guardian details First name Last name Best contact number Email address Learn to Swim Location Where is your Learn to Swim Class? Churchill Moe/ Newborough Morwell Student Details First Name Last Name Date of Birth Are you an Current Student? Yes No Current Lesson Day Monday Tuesday Wednesday Thursday Friday Saturday (AM only) Preferred Days Monday Tuesday Wednesday Thursday Friday Saturday (AM only) Preferred Times 9am - 12 noon 3.30pm - 7pm General Comments Leave this field blank
