2019 Term 4 KGASC

Don't want to fill out this form online? Click here to download a printable PDF copy of this form

Swimmer 1

Load contact details using username and password
If you do not have a username and password, one will be created for you when you submit this form.

Swimmer Details

Male Female

Parent/Guardian Details

Address

Health and Fitness

Dates

From 08-Oct-2019 to 12-Dec-2019

Days & Times

Once a time slot is full you will be asked to make another choice.

Tue Wed Thu
3:30 pm 1.Learn to swim under 5's $170
3:30 pm 2 Learn to swim level 1 $170
3:30 pm 3..Learn to Swim Level 1 $170 FULL
3:30 pm 4..Learn to Swim Level 1 $170
3:30 pm 5.Learn To swim L1 Advanced $170 FULL
4:00 pm 6.Learn to Swim Level 2 $170
4:00 pm 7.Learn to Swim level 2 $170
4:00 pm 8..Learn to Swim L2 Advanced $170 FULL
4:00 pm 9..Mini Squad $170 FULL
4:30 pm 10..Junior Squad $170 FULL

DISCLAIMER:
I hereby agree to assume all risks and responsibilities surrounding my (or my child's) participation in the program under the instruction of Kelvin Grove Amateur Swimming Club coaches. I understand that similar to all sporting activities, there is a risk of damage to personal property, injury or death which may result from causes beyond the control of, and without fault or negligence of Kelvin Grove Amateur Swimming Club, its officers, agents, or employees, during the period of my (or my child's) participation. I understand completely the above agreement and agree to be bound thereby. By registering on our site you agree that we may send you email related to our facilities and programs. We will not provide your details to any other company.


Agreement

31-May-2020

Payment Method

There are no refunds for any enrolments into Kelvin Grove Amateur Swimming Club related programs. When you sign/tick confirmation for this enrolment you are acknowledging that you know this as a fact and have accepted it as a condition.
$170.00 per session
$170.00
Bank Transfer
Bank details will be provided on the next screen