Eltham Swimming School Enrolment form
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Email *
Surname
 *
Parent/s name/s
 *
Address
 *
Email
Contact number/s
Child's name
DOB
 *
MM
/
DD
/
YYYY
Gender
 *
2nd Child's name
DOB
MM
/
DD
/
YYYY
Gender
Clear selection
3rd Child's name
DOB
MM
/
DD
/
YYYY
Gender
Clear selection
4th Child's name
DOB
MM
/
DD
/
YYYY
Gender
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Available days
 *
Required
Comments
Medical Terms & Conditions
A Parent / Guardian is expected to be present at the swimming school whilst your children are attending. In the event that a Parent / Guardian is not present, I authorise Eltham Swimming School Management to obtain any medical treatment as is deemed necessary. Should you not agree, a Parent / Guardian must always be present whilst the children are in attendance.
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Photo/Video
We take photographs & video at our centre for, encouragement of the children, internal training and promotion. 
Please sign below if you do not object to your children being included in photos or video.
 *
Membership Terms & Conditions 
I have read and agree to the Membership Terms & Conditions.

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