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Parent Name (REQ)

Phone (REQ)

Email (REQ)

Child 1 Name (REQ)

Child 2 Name

Make Up Options
Make up swimming lesson (specify preferred day/time below)Attend another class/program (specify below)x1 Open Ninja Passx2 Softplay Vouchers

If you would prefer a swimming make up lesson, please note your preferred day/time below
This option is only available pending our swimming class availablity

If you would like to attend another program / class, please note the program below

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