AJ Swimming
Swimming Lesson Booking Form
GROUP LESSON ONLINE BOOKING FORM
Some mobile devices are not compatible with this booking form therefore if you have not heard back within 48hrs please email
[email protected]
Name
*
First
Last
Email
*
Mobile Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Name Of Swimmer/s
*
D.O.B
*
VENUE
*
Carnoustie High (CHS)
Gardyne Road (GR)
Caledonia (CAL)
DAY
*
C.H.S Monday
C.H.S Wednesday
C.H.S. Thursday
C.H.S Friday
G.R Saturday
C.H.S Saturday
C.H.S Saturday Parent & Toddler
CAL Tuesday
CAL Thursday
CLASS
*
Starfish
Penguins
Otters
Frogs
Seals
Octopus
MONDAY TIMES
*
1800 - 1830 (No Octopus) (CHS)
1830 - 1900 (Only Octopus) (CHS)
None
TUESDAY TIMES
*
1400 - Starfish - Caledonia
WEDNESDAY TIMES
*
1800 - 1830 (No Octopus) CHS
1830 - 1900 (Only Octopus) CHS
None
Thursday
*
0930 - 1000 - Starfish Caledonia
1730 - 1800 - CHS (No Octopus)
1800 - 1830 - CHS Octopus
Friday
*
1630 - 1700 (No Octopus)
1530 - 1600 (ASAD Only)
SATURDAY TIMES
*
1330 - 1400 (No Octopus) C.H.S
1400 - 1430 (Starfish Only) C.H.S
1045 - 1115 (No Octopus) GR
1115 - 1145 (No Starfish) GR
1145 - 1215 (No Starfish) GR
Medical Information
*
Comment
*
Consent For Photographs to be taken and used on Facebook and Webpage
*
Yes
No
Submit