BlueFit Swimming Holiday Program Request

BlueFit Swimming Location*
Your preferred week (Bayfit)*

Monday 5th - Friday 9th January 2026Monday 19th - Friday 23rd January 2026
Your preferred week (Belmont)*

Monday 19th - Friday 23rd January 2026
Your preferred week (Camden)*

Monday 12th - Friday 16th January 2026
Your preferred week (Cotton Tree)*

Monday 12th - Friday 16th January 2026Monday 19th - Friday 23rd January 2026
Your preferred week (Hurstville)*

Monday 12th - Friday 16th January 2026Monday 19th - Friday 23rd January 2026
Your preferred week (Lambton)*

Monday 12th - Friday 16th January 2026Monday 19th - Friday 23rd January 2026
Your preferred week (Moss Vale)*

Monday 5th - Friday 9th January 2026
Your preferred week (Oran Park)*

Monday 5th - Friday 9th January 2026Monday 12th - Friday 16th January 2026Monday 19th - Friday 23rd January 2026
Your preferred week (Windy Hill)*

Monday 5th - Friday 9th January 2026Monday 12th - Friday 16th January 2026
Your Details
Family Name*

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

First NameLast Name
Child Age*
Your Current BlueFit Swimming Level*
Comment
Should be Empty:

Your Details