Contact Us "*" indicates required fields Customer Type* Current Customer New Enrolment NOTE: If you have previously attended Seal Swim School but DO NOT have any children CURRENTLY enrolled please select the New Enrolment optionContact InformationParent / Carer Name* First Last Mobile Phone* Email Address* HiddenType of EnquiryType of Enquiry* Cancel a Lesson Make-up Request Make-up Cancellation Starting Primary School Time Change Sibling Enrolment Refund Request Other Enquiry Other EnquiryOther Enquiry*(Please type your enquiry below)Refund RequestAccount Name* BSB* Account Number* Go on Future Term Waitlist* Yes No New EnrolmentPreviously Attended Seal Swim School?* Yes No Address InformationPostal Address* Street Address City ZIP / Postal Code How Did You Hear About Us?*(Please Choose Below)FacebookFlyerFriend / ReferralInternet / WebsiteMaternal Health NurseMothers GroupSibling EnrolmentOtherOther*(Please Type Below) HiddenHidden Section BreakCancelled Lesson Details Make-up Lesson Request Please Note: Make-up requests are valid for 7 days and Make-up lessons can only be booked ONE WEEK in advance. Make-up Lesson Cancellation Time Change Request All Time Change requests will be for Term 4 2024 (October 7th)Sibling Enrolment Request All Sibling Enrolment requests will be for Term 4 2024 (October 7th)Starting Primary School Request All Starting Primary School requests will be for Term 1 2024 (January 29th)Have the sibling(s) previously attended Seal Swim School?Sibling(s) Previously Attended?* Yes No Student InformationStudent Name* First Last Current Lesson Day*MondayWednesdayFridayMake-up Lesson Day*MondayWednesdayFridayMonday Lesson Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pm4:30pmWednesday Lesson Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pmFriday Lesson Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pm4:30pmCancellation DetailsNumber of Lessons to Cancel*1234(1) Date to Cancel* DD slash MM slash YYYY (2) Date to Cancel* DD slash MM slash YYYY (3) Date to Cancel* DD slash MM slash YYYY (4) Date to Cancel* DD slash MM slash YYYY Would You like to Request a Make-up Lesson Now?* Yes No NOTE: You will still be able to book a Make-up through the website for this cancelled lesson at a later dateNOTE: Make-up requests are valid for 7 days and Make-up lessons can only be booked ONE WEEK in advanceWhen Do You Want to Start?Term to Start*Term 4 2024 (October 7th)Term 1 2025 (January 31st)Term 2 2025 (April 30th)Term 3 2025 (August 1st)Term 4 2025 (October 6th)We will record your time preferences and contact you PRIOR to the beginning of the new Term to arrange a lesson time Number of Children*1234(1) Child Information(1) Child Name* First Last Date of Birth* Day Month Year Medical Condition(s) Current Lesson Day*MondayWednesdayFridayMonday Lesson Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pm4:30pmWednesday Lesson Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pmFriday Lesson Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pm4:30pmDay PreferencesPreferred Lesson Day(s)* Monday Wednesday Friday Preferred Make-up Day(s)* Monday Wednesday Friday (1) Child - Monday Preferred Time(s)Monday Earliest Start Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pm4:30pmMonday Earliest Make-up Start Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pm4:30pmMonday Afternoon Start Time*3:30pm4:00pm4:30pmMonday Latest Finish Time*9:30am10:00am10:30am11:00am11:45am12:15pm12:45pm1:15pm1:45pm2:15pm2:45pm3:15pm3:45pm4:30pm5:00pmMonday Latest Make-up Finish Time*9:30am10:00am10:30am11:00am11:45am12:15pm12:45pm1:15pm1:45pm2:15pm2:45pm3:15pm3:45pm4:30pm5:00pmMonday Afternoon Finish Time*4:00pm4:30pm5:00pm(1) Child - Wednesday Preferred Time(s)Wednesday Earliest Start Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pmWednesday Earliest Make-up Start Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pmWednesday Afternoon Start Time*4:00pmWednesday Latest Finish Time*9:30am10:00am10:30am11:00am11:45am12:15pm12:45pm1:15pm1:45pm2:15pm2:45pm3:15pm3:45pm4:30pmWednesday Latest Make-up Finish Time*9:30am10:00am10:30am11:00am11:45am12:15pm12:45pm1:15pm1:45pm2:15pm2:45pm3:15pm3:45pm4:30pmWednesday Afternoon Finish Time*4:30pm(1) Child - Friday Preferred Time(s)Friday Earliest Start Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pm4:30pmFriday Earliest Make-up Start Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pm4:30pmFriday Afternoon Start Time*3:30pm4:00pm4:30pmFriday Latest Finish Time*9:30am10:00am10:30am11:00am11:45am12:15pm12:45pm1:15pm1:45pm2:15pm2:45pm3:15pm3:45pm4:30pm5:00pmFriday Latest Make-up Finish Time*9:30am10:00am10:30am11:00am11:45am12:15pm12:45pm1:15pm1:45pm2:15pm2:45pm3:15pm3:45pm4:30pm5:00pmFriday Afternoon Finish Time*4:00pm4:30pm5:00pm(2) Child Information(2) Child Name* First Last Date of Birth* Day Month Year Medical Condition(s) Current Lesson Day*MondayWednesdayFridayMonday Lesson Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pm4:30pmWednesday Lesson Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pmFriday Lesson Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pm4:30pmDay PreferencesSame Time Preferences as (1) Child?* Yes No Preferred Lesson Day(s)* Monday Wednesday Friday (2) Child - Monday Preferred Time(s)Monday Earliest Start Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pm4:30pmMonday Latest Finish Time*9:30am10:00am10:30am11:00am11:45am12:15pm12:45pm1:15pm1:45pm2:15pm2:45pm3:15pm3:45pm4:30pm5:00pm(2) Child - Wednesday Preferred Time(s)Wednesday Earliest Start Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pmWednesday Latest Finish Time*9:30am10:00am10:30am11:00am11:45am12:15pm12:45pm1:15pm1:45pm2:15pm2:45pm3:15pm3:45pm4:30pm(2) Child - Friday Preferred Time(s)Friday Earliest Start Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pm4:30pmFriday Latest Finish Time*9:30am10:00am10:30am11:00am11:45am12:15pm12:45pm1:15pm1:45pm2:15pm2:45pm3:15pm3:45pm4:30pm5:00pm(3) Child Information(3) Child Name* First Last Date of Birth* Day Month Year Medical Condition(s) Current Lesson Day*MondayWednesdayFridayMonday Lesson Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pm4:30pmWednesday Lesson Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pmFriday Lesson Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pm4:30pmDay PreferencesSame Time Preferences as (1) Child?* Yes No Preferred Lesson Day(s)* Monday Wednesday Friday (3) Child - Monday Preferred Time(s)Monday Earliest Start Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pm4:30pmMonday Latest Finish Time*9:30am10:00am10:30am11:00am11:45am12:15pm12:45pm1:15pm1:45pm2:15pm2:45pm3:15pm3:45pm4:30pm5:00pm(3) Child - Wednesday Preferred Time(s)Wednesday Earliest Start Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pmWednesday Latest Finish Time*9:30am10:00am10:30am11:00am11:45am12:15pm12:45pm1:15pm1:45pm2:15pm2:45pm3:15pm3:45pm4:30pm(3) Child - Friday Preferred Time(s)Friday Earliest Start Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pm4:30pmFriday Latest Finish Time*9:30am10:00am10:30am11:00am11:45am12:15pm12:45pm1:15pm1:45pm2:15pm2:45pm3:15pm3:45pm4:30pm5:00pm(4) Child Information(4) Child Name* First Last Date of Birth* Day Month Year Medical Condition(s) Current Lesson Day*MondayWednesdayFridayMonday Lesson Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pm4:30pmWednesday Lesson Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pmFriday Lesson Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pm4:30pmDay PreferencesSame Time Preferences as (1) Child?* Yes No Preferred Lesson Day(s)* Monday Wednesday Friday (4) Child - Monday Preferred Time(s)Monday Earliest Start Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pm4:30pmMonday Latest Finish Time*9:30am10:00am10:30am11:00am11:45am12:15pm12:45pm1:15pm1:45pm2:15pm2:45pm3:15pm3:45pm4:30pm5:00pm(4) Child - Wednesday Preferred Time(s)Wednesday Earliest Start Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pmWednesday Latest Finish Time*9:30am10:00am10:30am11:00am11:45am12:15pm12:45pm1:15pm1:45pm2:15pm2:45pm3:15pm3:45pm4:30pm(4) Child - Friday Preferred Time(s)Friday Earliest Start Time*9:00am9:30am10:00am10:30am11:15am11:45am12:15pm12:45pm1:45pm2:15pm2:45pm3:15pm4:00pm4:30pmFriday Latest Finish Time*9:30am10:00am10:30am11:00am11:45am12:15pm12:45pm1:15pm1:45pm2:15pm2:45pm3:15pm3:45pm4:30pm5:00pmDo You Want To Enrol A Sibling?* Yes No NOTE: Please fill out a separate Sibling Enrolment Request IMMEDIATELY after completing and submitting this formAdditional InformationEnter Additional Information HereCommentsThis field is for validation purposes and should be left unchanged. 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