CHILD'S DETAILS
Child's Name:
School Class:
Swimming Ability :
PREFERENCES
2:30 – 3:30pm
2:45 – 3:45pm
2:15 – 2:45pm
3:45 – 4:15pm
PARENT'S DETAILS
Parent's Name:
Phone Number:
Mobile Number:
Email:
Notes:
I give permission for the above data to be used by JIS Dolphins for electronic marketing of its services. See our Privacy Policy if you hve concern regarding this.