Complete the form to change your lessons. 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 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 Student Details First Name Last Name Date of Birth 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 Student Details First Name Last Name Date of Birth 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 Student Details First Name Last Name Date of Birth 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
