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ADULT SQUAD SWIMMING GEELONG
Please complete the form below to ENQUIRE about our
ADULT
programs
(18 years and over)
at the magnificent
Geelong Grammar School, Handbury Centre for Wellbeing, 25 metre x 10 lane heated pool.
Bookings are open for all Adult swimmers in our Learn To Swim, Stroke Correction Private Lessons and Squad programs.
All H2O programs place great emphasis on drills, skills, technical proficiency, stroke development and improvement.
All ADULT swimmers are given one FREE coloured Swim Cap on their first session/lesson
All teachers and coaches are trained and qualified and complete on-going in-house H2O training.
Our Adult Learn To Swim class sizes are strictly controlled depending on the level.
Learn To Swim Enrolments are only confirmed after payment has been made BEFORE the start of each term.
Squad payments are made by Direct Debit on the first of each month
Entry to any Learn to Swim or Squad program is always subject to availability.
Please give us some details below so we can contact you to discuss options and answer any questions you might have ...
*
Indicates required field
What can we help you with ?
*
1. GROUP LESSONS - Adult Learn to Swim
2. PRIVATE LESSONS - Adult Learn To Swim
3. PRIVATE LESSONS - Adult Stroke Correction / Improvement
4. SQUAD MEMBERSHIP - Adults 18 years & over
Your Name
*
First
Last
Your Mobile Phone Number
*
Your Preferred Email
*
Your Home Address: Street, Suburb, Postcode
*
EMERGENCY SECONDARY CONTACT NAME
*
First
Last
Please list the name of a secondary emergency contact
EMERGENCY CONTACT RELATIONSHIP:
*
EMERGENCY NUMBER
*
How many swimmers are there?
*
1
2
Please tell us about the ADULT Swimmers and their Standards below...
1. TIMID
- reluctant to put face in water, can
NOT
float unassisted
2. CONFIDENT
-
CAN
float unassisted, happy to put face in water, may do rudimentary strokes
3. EMERGING -
learning to breath to the side
4. INTERMEDIATE
- can swim 25 metres Freestyle & learning other strokes
5.
SQUAD
- proficient in Freestyle, Backstroke & Breaststroke and can swim a MINIMUM 400 metres Freestyle
Swimmer 1 Name
*
Swimmer 1 Date of Birth
*
Swimmer 1 Medical Conditions - Any pre-existing illness, injury or learning difficulty that may affect learning &/or interaction with their teacher or other swimmers?
*
Swimmer 1 Standard - see above
*
TIMID BEGINNER
CONFIDENT BEGINNER
EMERGING
INTERMEDIATE
SQUAD - new to squad, first time
SQUAD - past or present squad swimmer
SQUAD - am a swim club member
- not certain -
Swimmer 2 Name
*
Swimmer 2 Date of Birth
*
Swimmer 2 Medical Conditions - Any pre-existing illness, injury or learning difficulty that may affect learning &/or interaction with their teacher or other swimmers?
*
Swimmer 2 Standard - see above
*
TIMID BEGINNER
CONFIDENT BEGINNER
EMERGING
INTERMEDIATE
SQUAD - new to squad, first time
SQUAD - past or present squad swimmer
SQUAD - am a swim club member
- not certain -
1. LEARN TO SWIM or SQUAD DAY/TIME PREFERENCES
Please go to our
SQUADS TIMETABLE
page for our planned squad session times
Swimmer 1. prefered Lesson or Squad day/s
*
MONDAY pm
TUESDAYS pm
WEDNESDAYS pm
THURSDAYS pm
SATURDAY am
Swimmer 2. prefered Lesson or Squad days/s
*
MONDAY pmo
TUESDAY pm
WEDNESDAY pm
THURSDAY pm
SATURDAY am
Are you a member of a Swimming Club?
*
YES, please name your club below
NO
Swimming Club Name
*
2. SUMMER EARLY MORNINGS
To help with our planning, do you think you might be interested in swimming early mornings before school starts
*
YES, that would be great
NO
MAYBE
3. ENQUIRIES
Any other comments or questions ?
*
PLEASE TICK THE BOX BELOW...
*
I have read and completed where relevant the Medical Information section and agree to the H2O Swimming Works Terms & Conditions as displayed on the H2O website Homepage, Terms & Conditions webpage. I further also give my permission for my photo/s to be displayed at the pool or on the H2O website for promotional purposes only.
Submit