Mel’s Aqua Fitness & Learn to Swim
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Home
About
Programmes & Pricing
Enrolment
Contact
Enrolment
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Enrolment
Mel's Aqua has SOLD! Please contact the new owners at Swim Mechanix for all of your swimming requirements. New Owner Details: Liz & Jono Fowler Swim Mechanix Australia Pty Ltd Website: www.swimmechanix.com.au Phone: 08 6255 7740 Email: Busselton@swimmechanix.com.au Facebook: Swim Mechanix Busselton Instagram: Swim Mechanix Busselton Kind regards Mel
Student Information
Name
*
First
Last
Date of Birth
*
Date Format: DD dash MM dash YYYY
Gender
*
Gender
Male
Female
Programme
Category Enrolment
*
Catagory Enrolment
Mums and Bubs - $175 Term - Parent in the water with child generally age 0 - 2yrs
Fun Day - $220 Term - 2ys to Kindy, Max 4 per lesson, No parent in the water
One on One - $350 Term Private lesson any age
Stages & Strokes Group - Full Time School, $220 Term Max 4 per lesson
Adult -$50 per 30 minute lesson
Term Enrolment is for
*
Select One
Term 1 - February to April
Term 2 - April to June
Term 3 - July to September
Term 4 - October to December
We generally align with the School terms
Stage
*
Select One
Stage 1
Stage 2
Stage 3
Stage 4
Stage 5
Stage 6
Stage 7
Stage 8
Stage 9
Stage 10
Stage 11
Stage 12
Stage 13
Stage 14
Stage 15
Select One
*
Select One
Monday
Tuesday
Wednesday
Thursday
Please list in the message section any other days you are available Mon to Thurs for ease of scheduling additional to your preferred day.
Preferred Time
*
AM - 9am - 3pm Age 0 - Kindy
PM - 3pm - 6pm Full Time School Pre Primary - Yr 12
Parent's Information
Mother's Name
*
First
Last
Email
*
Mother's Phone
*
Father's Name
*
First
Last
Father's Phone
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Message
If you have chosen the Fun Day, Please answer the below Questions. This will assist with an accurate pairing. Can your child Float? Forward Glide? Freestyle? Backward Glide? Have they ever had any lessons before? Are they confident or anxious around water? The more information the better. If you also have additional availability other than your preference day please list, remembering we only operate Monday to Thursday. This may increase your chances of obtaining a spot.
Medical Conditions
Additional Information
