Registration Form How many children are you registering?1234First ChildName* Age*Date of Birth* DD slash MM slash YYYY Current Swim Level* 2nd ChildName* Age*Date of Birth* DD slash MM slash YYYY Current Swim Level 3rd ChildName* Age*Date of Birth* DD slash MM slash YYYY Current Swim Level 4th ChildName* Age*Date of Birth* DD slash MM slash YYYY Current Swim Level Parent/Guardian Name/s* Child Resides With* Mother Father Both Name of person responsible for the account?* Home Phone* Mobile* Address* Street Address Suburb State Postcode Email* Allergies or Medical Details (please give details)Emergency Contact Name* Emergency Contact Phone* Publicity I agree to photos of my child being taken for use on the pool noticeboard I agree to photos of my child being used on the Swim Like A Fish website Please add any other commentsFees are paid by the term in advance (or for new starters, pro-rata from when lessons commence during the term). Missed classes (for any reason) can be made up at another time depending on class availability. If your personal details change, particularly contact numbers, could you please complete another of these forms ASAP.Please confirm that you agree to the above terms and conditions* I agree How did you find out about Swim Like A Fish? Word of mouth from friend/acquaintance Advertising in school newsletter Website/Google Flyer at preschool or kinder Yellow pages Facebook
