SWIMMING LESSONS ENROLLMENT FORM
Your name:
Parent / Guardian Name:
Your email address:
Your postal address:
Postcode:
Telephone No:
Mobile Phone No:
Age:
D.O.B.
Ability:	Please select... Non-Swimmer Beginner Novice Advanced
Day Best Suited:	Please select... Saturday Sunday
Date of Enquiry:
Health:
Where did you hear about Sheppard Swim School?