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Swim with Chloe Booking Form

School 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.

Contact Details

Please enter a contact number
Enter your email address
Please indicate what programme you are interested in
(eg approx. week 5 of term 4 until?)
Do you have a Sports Co-ordinator?
Do you hold a school swimming sports?
Do you attend interschool swimming sports at another school?
(example - week 4/5 term 4)
Do you need help with pool heating, pumps, automated systems or pool area maintenance?
Will you require support from Swim with Chloe to apply for funding for your swimming programme?
Will you require Swim with Chloe to provide equipment for the lessons?
Does your school provide access for swimming to whanau/community outside of school hours?

Pool Information

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2MB - Format .jpg, .png, .gif, pdf
Drag and drop files here or Browse
2MB - Format .jpg, .png, .gif, pdf
Drag and drop files here or Browse
2MB - Format .jpg, .png, .gif, pdf

Payment Information

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