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Swim School Booking Form

Thank you for your interest in the Swim School. To start your booking, please fill in the form below. Once you have submitted it, you will be taken to a page to pay by Paypal.

Please note that all fields followed by an asterisk must be filled in.

First Name*

Last Name*

E-Mail Address*

Street Address*

City*

Zip/Postal Code*

Home Phone*

In Case Of Emergency Contact (name and phone)*

How did you hear about the course?*

Are you:*

Swim experience:*

400m Swim Time or similar*

Swim Kit Owned:*

	Fins
	Paddles
	Pull Buoy
	Pacer

Please enter the word that you see below.

If you have any problems with, or questions about the booking process, please contact us.

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Swim School Booking Form

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