Enrolment Form - Term 2 Lessons

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Enrol for Term Two lessons with Makino Swim School

You will need to re-enrol for lessons each term. Please use the form below to enrol or re-enrol for Term Two swimming lessons with Makino Swim School. Enrolments are processed in date-received order.

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

For Term 2 2022, enrolments will close on Sunday 17th April. First in first served. Enrolments received after this date will be processed on a case-by-case basis.

If you have not received your lesson confirmation by 22nd April 2022, please contact us directly.

Is this swimmer NEW to Makino Swim School?: * (required)

Yes
No

Caregiver's First Name: * (required)

Caregiver's Last Name: * (required)

Relationship to Child:

Postal Address: * (required)

Phone: * (required)

Email: * (required)

Child's First Name: * (required)

Child's Last Name: * (required)

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

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Gender: * (required)

Male
Female

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 include any other medical conditions)

Class Type: * (required)

Babies and Toddlers
Pre-School Morning
Pre-School Afternoon
School Age
Home School
Adult

Which days can you attend lessons?: * (required)

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Any

Any further comments:

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