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Application Form - Woodville
 SA SWIM SCHOOLS - WOODVILLE 
     98 – 102 Woodville Rd. WOODVILLE
 

Application Form Term: 3 Year: 2008

Name of Applicant 1)…………...… 2)…………..... 3)………………
Age (yrs and mths) 1) …………….. 2) …………… 3) …………..…
School attending this year.................................................................................................          
Name of Guardian.………………………………………………………Address.................................................................................................
Post Code………………………………….
Home ph: …………….…………………… Other…………………………………..………………………………………………
Answering service: (yes / no) Email:
Any relevant Medical Conditions………………………………………….……………………………………………………………….
……………………………………………………………………………………………………
Please Tick appropriate box below:
□ We will not be attending Swimming Lessons during Term 3 2008
□ We will be attending Swimming Lessons in Term 3 at the same time.
Same Day/Time (please state when:)…………………………………………………………………………………….
We will be attending Swimming Lessons in Term 3 with the following changes.

For new time choice, complete below:

DAY Choice (1)………..…(2)………..…….(3)………………
TIME Choice (1)………….(2)………...…....(3)………………

MONDAY – FRIDAY 3.30 – 4.00 : 4.05 – 4.35 ; 4.40 –5.10 : 5.15 – 5.45 : 5.50 – 6.30
SATURDAY: 8. 25 – 8.55 : 9.00 – 9.30 : 9.35 –10.05 : 10.10- 10.40:
SUNDAY: 8. 25 – 8.55 : 9.00 – 9.30 : 9.35 –10.05 : 10.10- 10.40 : 10.45 – 11.15
Squads: Mon : 5.50 – 6.30 Wed: 5.50 – 6.30 Frid: 5.15 – 5.50

***ASSUME THAT YOU HAVE YOUR FIRST CHOICE, UNLESS I RING YOU***

FEES FOR TERM 3 , 2008 - Unchanged

  ONE CHILD TWO CHILDREN THREE CHILDREN
Per lesson per child $15 $14.50 $13.50
All Days - 10 lessons $150 or $75 x 2 $290 or $145 x 2 $405 or $135 x 3

□ Payment Enclosed $_____________ (Cheque / Money Order / Cash)
□ Pay at First Lesson
□ Pay over Internet BSB: 805023 Account: 04323096- (S A SWIM SCHOOLS)
Your Identity: W+(one child’s Surname or part & Christian Initial )e.g WRichterK
If transferring funds from your Saving and Loans, my account name is ‘k’ space ‘g’.