ADMIN - BlueFit Swimming Enrolment
Please fill out the form below to send to the customer.
Department
Unique ID text
Your Details
BlueFit Swimming Location
*
Please Select
Aquadome
Beerwah
Buderim
Bacchus Marsh
Botanic Ridge
Bayfit
Bayside
Belmont
Camden
Casula
Cotton Tree
Coolum
Eumundi
Gatton
Gracemere
Hurstville
Jubilee
Lambton
Lane Cove
Laidley
Lakelands
Mount Annan
Oran Park
Mayfield
Mill Park
Melton
Mosman
Moss Vale
Mount Morgan
Palmwoods
Sandringham
Sans Souci
South Morang
South Rockhampton
Stockton
Wallsend
Windy Hill
Family Number
*
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Student Details
Name
*
First Name
Last Name
Lesson Date
*
Please Select
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Lesson Time
*
Please Select
7:30am
7:45am
8:00am
8:15am
8:30am
8:45am
9:00am
9:15am
9:30am
9:45am
10:00am
10:15am
10:30am
10:45am
11:00am
11:15am
11:30am
11:45am
12:00pm
12:15pm
12:30pm
12:45pm
1:00pm
1:15pm
1:30pm
1:45pm
2:00pm
2:15pm
2:30pm
2:45pm
3:00pm
3:15pm
3:30pm
3:45pm
4:00pm
4:15pm
4:30pm
4:45pm
5:00pm
5:15pm
5:30pm
5:45pm
6:00pm
6:15pm
6:30pm
6:45pm
7:00pm
7:30pm
Date of First Lesson
*
-
Day
-
Month
Year
Date
Do you have any more children?
*
No
Yes
Details - Student 2
Name - Student 2
*
First Name
Last Name
Lesson Date - Student 2
*
Please Select
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Lesson Time - Student 2
*
Please Select
7:30am
7:45am
8:00am
8:15am
8:30am
8:45am
9:00am
9:15am
9:30am
9:45am
10:00am
10:15am
10:30am
10:45am
11:00am
11:15am
11:30am
11:45am
12:00pm
12:15pm
12:30pm
12:45pm
1:00pm
1:15pm
1:30pm
1:45pm
2:00pm
2:15pm
2:30pm
2:45pm
3:00pm
3:15pm
3:30pm
3:45pm
4:00pm
4:15pm
4:30pm
4:45pm
5:00pm
5:15pm
5:30pm
5:45pm
6:00pm
6:15pm
6:30pm
6:45pm
7:00pm
7:30pm
Date of First Lesson - Student 2
*
-
Day
-
Month
Year
Date
Location Cal
Submit
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