Enrolment Form - School Holiday Lessons

Enrol for Holiday Lessons with Makino Swim School

Holiday Lessons with Makino Swim School return these July School Holidays!

Lessons are held at the same time every day for one week (Monday 12 July - Friday 16 July 2021).

For more information about holiday lessons with the Makino Swim School, please phone us on (06) 323 5312 or email swim.school@mdc.govt.nz.

Lessons run at the same time every day across the duration of that week.

Parent's First Name: * (required)

Parent's Last Name: * (required)

Postal Address: * (required)

Phone (Home): * (required)

Phone (Mobile):

Email: * (required)

Child's First Name: * (required)

Child's Last Name: * (required)

Date of Birth: * (required)Date of Birth: * (required)

Gender: * (required)

Male
Female

Time Preference: * (required)

Morning classes
Afternoon classes
No preference

Are there any problems your child may have that could affect them during their lesson?:

ADHD
Asthma
Autism
Behavioural problems
Ear infections
Eczema
Grommets
Hearing issues
Previous bad water experience
Short sighted

Comments:
(please indicate swimming ability if a new student)

Is this enrolment for private lessons for your child? Please note that there may be limited availability: * (required)

Yes
No

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