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Block 1-2-1 Booking Form
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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 bookings@ajswimming.com
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
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