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"*" 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 option

Contact Information

Parent / Carer Name*

First Last

Mobile Phone*

Email Address*

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Type of Enquiry

Type of Enquiry*

Cancel a Lesson

Make-up Request

Make-up Cancellation

Starting Primary School

Time Change

Sibling Enrolment

Refund Request

Other Enquiry

Other Enquiry*

(Please type your enquiry below)

Refund Request

Account Name*

BSB*

Account Number*

Go on Future Term Waitlist*

Yes

No

New Enrolment

Previously Attended Seal Swim School?*

Yes

No

Address Information

Postal Address*

Street Address City ZIP / Postal Code

How Did You Hear About Us?*

(Please Choose Below)

Other*

(Please Type Below)

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Cancelled 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 3 2025 (July 28th)

Sibling Enrolment Request

All Sibling Enrolment requests will be for

Term 2 2025 (April 28th)

Starting Primary School Request

All Starting Primary School requests will be for

Term 1 2025 (February 3rd)

Have the sibling(s) previously attended Seal Swim School?

Sibling(s) Previously Attended?*

Yes

No

Student Information

Student Name*

First Last

Current Lesson Day*

Make-up Lesson Day*

Monday Lesson Time*

Wednesday Lesson Time*

Friday Lesson Time*

Cancellation Details

Number of Lessons to Cancel*

(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 date

NOTE: Make-up requests are valid for 7 days and Make-up lessons can only be booked ONE WEEK in advance

When Do You Want to Start?

Term to Start*

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*

(1) Child Information

(1) Child Name*

First Last

Date of Birth*

Day

Month

Year

Medical Condition(s)

Current Lesson Day*

Monday Lesson Time*

Wednesday Lesson Time*

Friday Lesson Time*

Day Preferences

Preferred Lesson Day(s)*

Monday

Wednesday

Friday

Preferred Make-up Day(s)*

Monday

Wednesday

Friday

(1) Child - Monday Preferred Time(s)

Monday Earliest Start Time*

Monday Earliest Make-up Start Time*

Monday Afternoon Start Time*

Monday Latest Finish Time*

Monday Latest Make-up Finish Time*

Monday Afternoon Finish Time*

(1) Child - Wednesday Preferred Time(s)

Wednesday Earliest Start Time*

Wednesday Earliest Make-up Start Time*

Wednesday Afternoon Start Time*

Wednesday Latest Finish Time*

Wednesday Latest Make-up Finish Time*

Wednesday Afternoon Finish Time*

(1) Child - Friday Preferred Time(s)

Friday Earliest Start Time*

Friday Earliest Make-up Start Time*

Friday Afternoon Start Time*

Friday Latest Finish Time*

Friday Latest Make-up Finish Time*

Friday Afternoon Finish Time*

(2) Child Information

(2) Child Name*

First Last

Date of Birth*

Day

Month

Year

Medical Condition(s)

Current Lesson Day*

Monday Lesson Time*

Wednesday Lesson Time*

Friday Lesson Time*

Day Preferences

Same Time Preferences as (1) Child?*

Yes

No

Preferred Lesson Day(s)*

Monday

Wednesday

Friday

(2) Child - Monday Preferred Time(s)

Monday Earliest Start Time*

Monday Latest Finish Time*

(2) Child - Wednesday Preferred Time(s)

Wednesday Earliest Start Time*

Wednesday Latest Finish Time*

(2) Child - Friday Preferred Time(s)

Friday Earliest Start Time*

Friday Latest Finish Time*

(3) Child Information

(3) Child Name*

First Last

Date of Birth*

Day

Month

Year

Medical Condition(s)

Current Lesson Day*

Monday Lesson Time*

Wednesday Lesson Time*

Friday Lesson Time*

Day Preferences

Same Time Preferences as (1) Child?*

Yes

No

Preferred Lesson Day(s)*

Monday

Wednesday

Friday

(3) Child - Monday Preferred Time(s)

Monday Earliest Start Time*

Monday Latest Finish Time*

(3) Child - Wednesday Preferred Time(s)

Wednesday Earliest Start Time*

Wednesday Latest Finish Time*

(3) Child - Friday Preferred Time(s)

Friday Earliest Start Time*

Friday Latest Finish Time*

(4) Child Information

(4) Child Name*

First Last

Date of Birth*

Day

Month

Year

Medical Condition(s)

Current Lesson Day*

Monday Lesson Time*

Wednesday Lesson Time*

Friday Lesson Time*

Day Preferences

Same Time Preferences as (1) Child?*

Yes

No

Preferred Lesson Day(s)*

Monday

Wednesday

Friday

(4) Child - Monday Preferred Time(s)

Monday Earliest Start Time*

Monday Latest Finish Time*

(4) Child - Wednesday Preferred Time(s)

Wednesday Earliest Start Time*

Wednesday Latest Finish Time*

(4) Child - Friday Preferred Time(s)

Friday Earliest Start Time*

Friday Latest Finish Time*

Do You Want To Enrol A Sibling?*

Yes

No

NOTE: Please fill out a separate Sibling Enrolment Request IMMEDIATELY after completing and submitting this form

Additional Information

Enter Additional Information Here

Name

This field is for validation purposes and should be left unchanged.

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