Enrolment Form

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Enrolment

Enrolments

Enrol by following this link

https://app.iclasspro.com/portal/whitakersswimmers

(preferred)

or

complete the form below

Enrolment Form

Parent/Guardian Name

Mobile

Email

Address

Swimmer Name #1

Date of Birth

# Classes per week

Days you wish to attend

Monday

Tuesday

Thursday

Saturday

Intensive Block

Medical Conditions (if have)

Swimmer Name #2 (if req)

Date of Birth

# classes per week

Days you wish to attend

Monday

Tuesday

Thursday

Saturday

Medical Conditions (if have)

Swimmer #3 details (if req)

Date of Birth

# classes per week

Days you wish to attend

Monday

Tuesday

Thursday

Saturday

Intensive block

Emergency Contact

Emergency Name #1

Relationship

Mobile

Email

Emergency Name #2

Relationship

Mobile

Email

Extra Information

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Isis War Memorial Swimming Pool
77 Churchill St, Childers
Tel: 07 4126 1437

Trading Hours
Monday to Friday 6am - 6pm
Saturday 10am - 5pm to Sunday and 11am - 5pm

Biggenden Swimming Pool

37 Victoria Street
Biggenden, QLD 4621
Tel: 07 4182 9513

Trading Hours:
Monday to Friday: 5:30am - 8:00am & 12pm - 6pm
Saturday & Sunday: 12pm - 5pm

Mobile: 0418 738 050

Email: whitakerswimschool@gmail.com

Contact Us Enrol With Us

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