Friday, 22 September 2017

Enrolment Form

Personal Details


Swimming Details


Do you have any medical conditions or injuries (past or present) that may be relevant to your Swimming? If Yes, please give details.

Payment Details


All classes must be paid for in advance of the lesson either by bank transfer or cash on the day.

Fees are as follows:

1 hour private lesson $80.00
¾ hour private lesson $70.00
½ hour private lesson $55.00
1 hour private lesson (two people) $100.00
Group squad - casual attendance $13.00
Group squad - 10 visit pass $110.00 ($20.00 saving)


Bank transfer details:

Account Name eSWIM
BSB 814 282
Account 50400218

(please use your name as your reference)

Please note that pool entry fees are the responsibility of the individual and must be paid before entering the pool.

Private Lesson Cancellation Policy:

eSWIM understands that life can sometimes get in the way of a swim and if you need to cancel every attempt will be made to reschedule your class for another time to suit. If you can provide at least 24 hours notice I will be able to reschedule your class with no cancellation fee. If you can’t give me 24 hours notice and I can’t fill your lesson with someone else then I will need to charge a $35.00 cancellation fee.

Waiver


I hereby waive, release and discharge eSWIM from all and every claim, right or cause of action which I might have or arising out of my death, resulting in injury, damage or loss of any description whatsoever which I may suffer or sustain as the result of my participation in an eSWIM activity EXCEPT to the extent that such may be proven to have been caused by the wilful act or omission of eSWIM. I agree to indemnify and keep indemnified eSWIM against all actions, suits, demands, claims, proceedings, costs, expenses, liabilities and judgements arising out of, or in relation to, my participation in an eSWIM activity. I consent to receive such medical aid or preventative treatment which may be deemed advisable in the unfettered discretion of the eSWIM instructor in the event of any injury or accident or illness to me as the result of my participation in an eSWIM activity. I acknowledge the Private Lesson Cancellation Policy and agree to its terms and conditions.