Request Form Please complete this form to request to change your swimming lesson to a different day, time or level, or to cancel your lesson. Please note: Requests are dependent on class availability. Please view/check the current class availability prior to submitting your request. You will receive a response to your request within seven (7) working days. Class availability is subject to change. For more information, please call 9400 4600. Please complete all required fields! Parent / Guardian Details First Name(*) Please let us know your name. Surname(*) Please let us know your name. Email(*) Please enter your email address Phone(*) Please enter your phone number. Student Details First Name(*) Please enter child's name Surname(*) Please enter child's name Current Lesson Day(*) Please Select OneMondayTuesdayWednesdayThursdayFridaySaturdaySunday Invalid Input Time(*) Invalid Input Level(*) Invalid Input Preference 1 Day(*) Please Select OneMondayTuesdayWednesdayThursdayFridaySaturdaySunday Invalid Input Time(*) Invalid Input Level(*) Invalid Input Preference 2 Day(*) Please Select OneMondayTuesdayWednesdayThursdayFridaySaturdaySunday Invalid Input Time(*) Invalid Input Level(*) Invalid Input Preference 3 Day(*) Please Select OneMondayTuesdayWednesdayThursdayFridaySaturdaySunday Invalid Input Time(*) Invalid Input Level(*) Invalid Input Please outline the reason for your request to change your enrolment(s): Please Select One(*) Passed level Conflicting activity at the same time Unhappy with swimming instructor Changing of employment circumstances Incorrect booking Starting full time school Invalid Input Would you like to request to change the lesson of another student?(*) Yes No Invalid Input Student Details First Name(*) Please enter child's name Surname(*) Please enter child's name Current Lesson Day(*) Please Select OneMondayTuesdayWednesdayThursdayFridaySaturdaySunday Invalid Input Time(*) Invalid Input Level(*) Invalid Input Preference 1 Day(*) Please Select OneMondayTuesdayWednesdayThursdayFridaySaturdaySunday Invalid Input Time(*) Invalid Input Level(*) Invalid Input Preference 2 Day(*) Please Select OneMondayTuesdayWednesdayThursdayFridaySaturdaySunday Invalid Input Time(*) Invalid Input Level(*) Invalid Input Preference 3 Day(*) Please Select OneMondayTuesdayWednesdayThursdayFridaySaturdaySunday Invalid Input Time(*) Invalid Input Level(*) Invalid Input Please outline the reason for your request to change your enrolment(s): Please Select One(*) Passed level Conflicting activity at the same time Unhappy with swimming instructor Changing of employment circumstances Incorrect booking Starting full time school Invalid Input Would you like to request to change the lesson of another student?(*) Yes No Invalid Input Student Details First Name(*) Please enter child's name Surname(*) Please enter child's name Current Lesson Day(*) Please Select OneMondayTuesdayWednesdayThursdayFridaySaturdaySunday Invalid Input Time(*) Invalid Input Level(*) Invalid Input Preference 1 Day(*) Please Select OneMondayTuesdayWednesdayThursdayFridaySaturdaySunday Invalid Input Time(*) Invalid Input Level(*) Invalid Input Preference 2 Day(*) Please Select OneMondayTuesdayWednesdayThursdayFridaySaturdaySunday Invalid Input Time(*) Invalid Input Level(*) Invalid Input Preference 3 Day(*) Please Select OneMondayTuesdayWednesdayThursdayFridaySaturdaySunday Invalid Input Time(*) Invalid Input Level(*) Invalid Input Please outline the reason for your request to change your enrolment(s): Please Select One(*) Passed level Conflicting activity at the same time Unhappy with swimming instructor Changing of employment circumstances Incorrect booking Starting full time school Invalid Input Would you like to request to change the lesson of another student?(*) Yes No Invalid Input Student Details First Name(*) Please enter child's name Surname(*) Please enter child's name Current Lesson Day(*) Please Select OneMondayTuesdayWednesdayThursdayFridaySaturdaySunday Invalid Input Time(*) Invalid Input Level(*) Invalid Input Preference 1 Day(*) Please Select OneMondayTuesdayWednesdayThursdayFridaySaturdaySunday Invalid Input Time(*) Invalid Input Level(*) Invalid Input Preference 2 Day(*) Please Select OneMondayTuesdayWednesdayThursdayFridaySaturdaySunday Invalid Input Time(*) Invalid Input Level(*) Invalid Input Preference 3 Day(*) Please Select OneMondayTuesdayWednesdayThursdayFridaySaturdaySunday Invalid Input Time(*) Invalid Input Level(*) Invalid Input Please outline the reason for your request to change your enrolment(s): Please Select One(*) Passed level Conflicting activity at the same time Unhappy with swimming instructor Changing of employment circumstances Incorrect booking Starting full time school Invalid Input Please outline any comments you have in relation to your Change of Swimming Request. Invalid Input Submit