Enrolment - Geelong Swimming Club Learn to Swim

Name of Parent*

First Name Last Name

Mobile Number*

Email Address*

Home Address*

Suburb*

Postcode*

Location*

Please specify which location at which you would like to enrol.

Swimmers

Please provide the details of each swimmer you are enrolling.

Name	Date of Birth	Medical Conditions	Actions

There are no Swimmers.

Comments

Please let us know here if you have any specific questions or concerns.