Parents / Guardians Name (required)
Name (required)
Your Email (required)
Address
Postcode
Contact Number
Date Of Birth
Age (required)
Ability (required) ---Non-SwimmerHas attended preschool swimming lessonsHas attended some structured swimming lessonsImproving SwimmerHas attended Aqua Babies
Day Best Suited ---TuesdayWednesdayThursdaySaturday
Health Information
Does your brother/sister have lessons? ---yesno
Where did you hear about Taylor's Swim School? ---RecommendationInternetAdvertisementFriendRelative
