Swim School

Private Lessons - Request Form

Please complete all relevant sections of the request form in full.

* Compulsory

Part 1 - Applicants details
Student's First Name: *
Student's Surname: *
Age: *
Contact Name: *
Address: *
Suburb: *
Postcode: *
Home Phone: *
Mobile Phone:
E-mail:
PART 2 - Lessons details
Reason for Private Lesson (please be as specific as possible):
*

Preferred Day, Time and Preference (e.g. Tuesday-1, Friday-2 ):
8:30am Monday - Friday:
3:30pm Monday - Friday:
6:30pm Monday - Friday:
No Weekends Available

Private lessons are suject to instructor and pool availability, therefore limited classes are available. You will be contacted within 3 business days of your request.

Applicants will be required to book a minimum of 5 private lessons, and payment MUST be received at the time of booking.

    


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Copyright © Monash Aquatic and Recreation Centre 2007

Updated: 7 September 2007