Share You must have JavaScript enabled to use this form. Parent/Guardian Details Contact details Name Email Phone Family membership # (if known) Child/ren Details Child #1 Name Name Student # (if known) Lesson Day/s Sunday Sunday Monday Monday Tuesday Tuesday Wednesday Wednesday Thursday Thursday Friday Friday Saturday Saturday Class time/s Last class date request - 14 days notice is required Add another child? Yes No Child #2 Name Name Student # (if known) Lesson Day/s Sunday Sunday Monday Monday Tuesday Tuesday Wednesday Wednesday Thursday Thursday Friday Friday Saturday Saturday Class time/s Last class date request - 30 days notice is required Add another child? Yes No Child #3 Name Name Student # (if known) Lesson Day/s Sunday Sunday Monday Monday Tuesday Tuesday Wednesday Wednesday Thursday Thursday Friday Friday Saturday Saturday Class time/s Last class date request - 30 days notice is required Add another child? Yes No Child #4 Name Name Student # (if known) Lesson Day/s Sunday Sunday Monday Monday Tuesday Tuesday Wednesday Wednesday Thursday Thursday Friday Friday Saturday Saturday Class time/s Last class date request - 30 days notice is required Comments Details Reason Having a break Moving out the area Finishing lessons Personal schedule change Assessed level unavailable Seasonal sports Problem with lessons Changing swim schools Other Please provide more details Are you keeping other children in lessons? No Yes
