General Information Swim Groups Options Club Nights Carnivals Pool Location Contact/Enrolment

JILL’S SWIM SCHOOL

021 214 5737

john@aquajetswimclub.co.nz

CONTACT

or fill out the Enrolment Form below:

First Name:

Surname:

Date of Birth:

First Name:

Surname:

Date of Birth:

First Name:

Surname:

Date of Birth:

First Name:

Surname:

First Name:

Surname:

Postal Address:

Town/City:

Email Address:

Phone Number:

Swimmer Info:

Parent Info:

1

2

3

2

1

*

*

* required information

*

*

*

*

*

*

*

Term:

*

Comments:

Day/time that suits you
Swimming abilities

john@aquajetswimclub.co.nz

021 214 5737