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School Learn to Swim Program Booking Request Form

*Please note this form is for local school intensive learn to swim programs only not casual bookings*

Contact Details

School: * (required)

Primary Contact: * (required)

Primary Contact Number: * (required)

Email: confirmation will be sent to this email * (required)

Booking Request Details

Location: * (required)

Leeton Regional Aquatic Centre

Whitton Swimming Pool

Year Group/Class Attending: * (required)

Start Date: * (required)Start Date: * (required)

Finish Date: * (required)Finish Date: * (required)

Days of use (if multiple):

Start Time: * (required)

Finish Time: * (required)

Number of students: * (required)

Payment Type: * (required)

Rewards Day Request

Did you want to book a rewards days? * (required)

Yes

*If you selected yes to a rewards day please complete a Rewards Day Booking form separately*