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eSWIM Junior Squad Enrolment Form
Personal Details for participating Child
Last Name
First Name
Date of Birth (dd/mm/yyyy)
Address
Email address (Parent email is OK)
Phone
_____________________________________________________________________________________________
Emergency Contact Details - must be contactable during Squad session
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Number
Swimming Details for participating Child
Minimum Swimming Ability
(You must be able to check both boxes to be able to participate in eSWIM Junior Squad sessions)
I can swim 50m freestyle without stopping
I am comfortable in deep water (all pools at HBF Stadium are at least 2m deep)
Squad Familiarity
I have never been in a squad before
I have swum in a squad previously or swim with one intermittently
I regularly train in a squad
(select the one that best suits you)
Stroke Preferences
I can swim all strokes confidently
I can swim all strokes, but some better than others
I can swim freestyle and backstroke, but my other strokes need improvement
(select the one that best suits you)
Do you have any medical conditions / injuries that may impact your swimming or participation in the Squad?
No
Yes
If Yes, list details
I will bring the following equipment to every eSWIM Junior Squad Session and make sure all of my items are clearly labelled
Fins
Kickboard
Pull buoy
Payment Details
All classes should be paid for by purchasing the relevant pass/es via your
Punchpass
account.
Please create an account for the participating child.
Fees are as follows (incl GST):
Single Session - $15
Two sessions - $28
Season pass (10 pass) - $130
eSWIM Junior Waiver:
eSWIM understands that life can sometimes get in the way and you may not be able to attend a session that you have booked in for. Please use the cancellation feature on your confirmation email to cancel your attendance in this instance.
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
(Parent or Guardian of participating child)
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