Kiosk / Website 2023 BlueFit Swimming Enrolment

BlueFit Swimming Enrolment

Please fill out the form below to finalise your Enrolment
Department
Unique ID
Your Details
BlueFit Swimming Location*
location calculated filed
location calculated filed
Family Number*
Name

First NameLast Name
Full Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Student Details
Name*

First NameLast Name
Old Name

First NameLast Name
Lesson Date*
Lesson Time*
Date of First Lesson (Max 14 days in advance)*

DayMonthYear
Date
Do you have any more children?*

NoYes
Details - Student 2
Name - Student 2*

First NameLast Name
Old Name - Student 2

First NameLast Name
Lesson Date - Student 2*
Lesson Time - Student 2*
Date of First Lesson - Student 2 (Max 14 Days in advance)*

DayMonthYear
Date
Terms and Conditions
Signature

Clear
Should be Empty:

BlueFit Swimming Enrolment