1-2-2 Swim Lesson Application - Perth Leisure Pool

Please complete the application form below. Please note that this application form is for children wishing to attend 1-2-2 lessons Perth Leisure Pool swimming lessons ONLY. Once complete, the form will be sent to our swim team who will add your child onto our waiting list. In due course, our swim team will be in touch with you. If you have more than one child to add to our waiting list, a request form must be completed for each child.
Please enter a name.

Please enter the name of the child who will be attending the lesson.

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Please enter the child's Date of Birth. (DD/MM/YYYY)

Please enter a valid email address.

Please enter your email address.

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Please enter your postcode.

Great, now we have your details, please select the session you would like to apply for below.
Please select your child's level.