JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Harlee Elite - School Holiday Clinic
If you intend to register more than one child, you will need to submit this form once per child.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Parent/guardian name
*
Your answer
Full name participant
*
Your answer
What Harlee Elite Squad are you in (if not in a squad please leave blank)
Your answer
Contact number
*
Your answer
Email address
*
Your answer
I am registering for the below clinic:
*
Harlee Elite Splash Swim Clinic: Thursday, 28th September - Roselands Aquatic Centre.
Whoops wrong button!
Harlee Elite Performance Swim Clinic: Thursday, 5th October - Max Parker (Revesby) Aquatic Centre.
Both Clinics
Please leave details if you require an assessment for the upcoming Summer season.
Your answer
Payment to be made on the day.
*
Yes, can't wait!
No - contact for alternative arrangements
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
