Your Name:

Your Email:

Child's Name

Child's DOB:

Medical Conditions/Special Needs:

How far can your child swim breastroke UNAIDED?

How far can your child swim backstroke UNAIDED?

How far can your child swim front crawl UNAIDED?

Which Waiting List would you like to be added to?

Monday at Farleigh School: between 5:15pm & 7:15pm (school aged children only)
Thursday at Farleigh School: between 12:30pm & 1:30pm (Adult & Child & Pre-School children)
Saturday at Farleigh School: between 8:45am & 1:45pm (all ages & abilities)

Any further information:

User Agreement

By continuing, you agree to our Privacy Policy and Terms of Service.  We will hold your details on our Customer Portal.  You are giving us your explicit consent to hold your personal details & that of your child/ren. We only hold the details that you enter (names, address, phone number, email & for the children their names, DOB's & medical conditions/special needs). This information is NOT shared with any 3rd parties and is held on a password protected database managed by Thinksmart Software.

Please note we cannot respond if you do not include your contact details above!