Medley Swim School
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Parent / Guardian Details
Name
Swimmer Details
Name
Lesson Time
Any Crash Course
Monday 3:45pm
Monday 4.15pm
Monday 4.45pm
Monday 5.15pm
Tuesday 3:15pm
Tuesday 3:45pm
Wednesday 4:00pm
Wednesday 4:30pm
Wednesday 5:00pm
Wednesday 5:30pm
Wednesday 6:00pm
Wednesday 6:30pm
Thursday 4:00pm
Thursday 4:30pm
Friday 7:00pm
Friday 7:30pm
Saturday 12:30pm
Saturday 1:00pm
Saturday 1:30pm
Saturday 2:00pm
Saturday 2:30pm
Saturday 3:00pm
Sunday 11:30am
Sunday 12:00pm
Sunday 12:30pm
Sunday 1:00pm
Sunday 1:30pm
Sunday 2:00pm
Sunday 2:30pm
Sunday 3:00pm
Sunday 3:30pm
Date of Birth
Sex
Male
Female
Contact Information
Address
Emergency Contact Tel
Email
Other Information
Allergies or Illnesses
Medical Conditions
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