Enrolment Form - School Holiday Lessons

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

Lessons are held at the same time every day for one week (Monday 4 October - Friday 8 October 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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