Stacey's Swim School

A.  Please fill out your email details below so you can be added to our email list for stacey’s swim school

B.  Please fill out your details in the enrollment form below

Enrolment & Medical Form

Parent / Guardian:(Required)

Child / Children's Details

Medical Information (for child and any parent getting in the pool with under 5’s)

GROUP OR PRIVATE
if you have a INSTRUCTOR PREFERENCE please put here
SELECT YOUR PREFERED DAY (If you have an instructor preference please see their days above)
IF YOU WANT PRIVATE BUT UNAVAILABLE - WHICH DAY WOULD SUIT FOR GROUP
I give permission for this child/ children to participate in Stacey’s Swim School. If in the event of medical treatment I agree to meet all cost incurred including hospital and ambulance. I agree to the instructor administering first aid if necessary.(Required)
I understand that photos may be taken and uploaded to social media and used in advertising. Please specify below if you do/ do not give permission. We will not upload any media without your permission.(Required)
I understand that FULL PAYMENT is to be made before or on the first day. I understand my child/children cannot enter the pool without payment being made

Please know all information given is confidential and private.

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