JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Adult Swimming Booking Request Form
Please complete the form below to enroll for the Beginner, Intermediate or advanced courses.
Mon. -Thur.6-7 pm at R 1200 per person.
Booking will be confirmed and secured once payment is made and POP is sent.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name & Surname
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Address
*
Your answer
Your phone/cell number
Your answer
CHOOSE THE BRANCH
Centurion-Lenchen, Zwartkop, Centurion
Midstream Ridge, Centurion
Curro Thatchfield, Centurion
Clear selection
Choose the course
*
Beginner Course
Beginner Course-Mornings 6-7am @CurroThatchfield
Select a course date
*
20-30 May 2024 - 6-7am Beginner Course @ Lenchen Branch
3 - 13 June 2024 - Beginner Course
Required
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
