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Learn to Swim with Chloe Booking Form

Swim with Chloe Parents Booking Form

To request a swim class booking or availability, please complete the form below and submit.  We will contact you to discuss your query further.

Your Details

Please enter your name
Please enter a contact number
Enter your email address

Student Details

Click here for the swim levels assessment information in order to help us place your child into the most appropriate class (opens in new window).
Please read the information and choose carefully as placing children in their correct classes is very important! Please choose the level which most accurately describes your child’s current swimming ability.
Click here for the swim levels assessment information in order to help us place your child into the most appropriate class (opens in new window).
Please read the information and choose carefully as placing children in their correct classes is very important! Please choose the level which most accurately describes your child’s current swimming ability.
Click here for the swim levels assessment information in order to help us place your child into the most appropriate class (opens in new window).
Please read the information and choose carefully as placing children in their correct classes is very important! Please choose the level which most accurately describes your child’s current swimming ability.
Click here for the swim levels assessment information in order to help us place your child into the most appropriate class (opens in new window).
Please read the information and choose carefully as placing children in their correct classes is very important! Please choose the level which most accurately describes your child’s current swimming ability.
Click here for the swim levels assessment information in order to help us place your child into the most appropriate class (opens in new window).
Please read the information and choose carefully as placing children in their correct classes is very important! Please choose the level which most accurately describes your child’s current swimming ability.

Venue Details

Please enter where you would like our classes to be run for a block week. Please see the list of venues on our Swim Schedules page
* additional fees may apply to some swim programmes check the Swim Schedules page for info

Consent

By ticking this box and completing this booking form, you give permission for my child/ren named on this form to take part in Swim with Chloe swimming lessons. I also agree that I have read the Permission Form and am clear and agree to the Terms and Conditions.
Please enter your name
Please enter today's date

Payment Information

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