Splash Swim School - Waitlist Registration

1. Are any of the students you will be registering on the waitlist (including yourself), under 18 years of age? *This question is required.

Please confirm your details as the Parent/Guardian: *This question is required.

First Name

Last Name

Title

Street Address

Suburb

State

Post Code

Mobile Phone

Email Address

2. How many students will you be registering on the waitlist (including yourself if applicable)? *This question is required.

Parent/Guardian Details