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eSWIM Private and Group Lesson Enrolment Form
Personal Details
Last Name
First Name
Date of Birth (dd/mm/yyyy)
Address
Email address
Phone
_____________________________________________________________________________________________
Emergency Contact Details
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Number
Swimming Details
Do you have any Medical conditions / Injuries that may impact your swimming?
No
Yes
If Yes, list details
Swimming Ability
Beginner
Intermediate
Advanced
Were you referred by someone?
No
Yes
Referral person's name
Type of Lesson
Please check all options that you are interested in, and eSWIM will contact you to confirm.
Private Lessons:
Beginner
Stroke Correction
Training
Group Classes:
Payment Details
All classes should be paid for by purchasing the relevant pass/es via your
Punchpass
account
Fees are as follows:
Beginner Lesson Costs
1 hour - $115
¾ hour - $100
½ hour - $85
6 x 1 hour package - $630
Stroke Correction Lesson Costs
First lesson – $145 – 1.25 hours
Subsequent lessons:
$115 – 1 hour
$100 – ¾ hour
$85 – ½ hour
Duo Stroke Correction
– for two swimmers of a similar standard.
First lesson – $200 – 1.25 hours
Subsequent lessons – $150 – 1 hour
PRIVATE TRAINING
Solo Training - personalised attention:
6 x 1 hour package - $630
Private Group training – 1 hour
2 swimmers - $150 ie $75 each
3 swimmers - $180 ie $60 each
4 or more swimmers - $55 each
GROUP CLASSES
Single pass - casual attendance: $18.50
10 visit pass - $165.00 ($20.00 saving)
EPOD SESSIONS
Single pass - $26
5 session pass - $115 ($15 saving)
8 session pass - $180 ($28 saving)
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 effort will be made to reschedule your class for another time to suit. If you can provide at least 24 hours notice we will be able to reschedule your class with no cancellation fee. If you can’t provide 24 hours notice and we can’t fill your lesson with someone else then a $40 cancellation fee will be charged. If you need to cancel your lesson on the day it is scheduled please text Elena on
0415 314 082.
Please do not call as the call may not be answered while lessons are on.
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.
I accept the Waiver and Conditions
Please prove you're a Human!
Home
Log In
About eSWIM
About Us
Testimonials
Merchandise & Gift Vouchers
Noticeboard
Classes
Types of Classes
Private Lessons
Group Classes
Term Squads
Enrolments & Payments
What to Bring
Calendar
Squads
Mon AM Squad
2025 Rotto Squad
Fast Facts
Coaches
Training
Fees
Testimonials
Merchandise
Enrol
Training Calendar
Junior Squad
Contact
Contact Us