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Home
About
Programs
Babies & Toddlers
Learn to Swim
Squads
School Holiday Fun
Timetables
Term Timetables
School Holiday Timetables
Our Team
Forms
Contact
ENROL
Beach Safety Day
Beach Safety Holiday Program
This is one of our favourite activities!
Swimmers aged 5 and over may participate in this activity. Family and friends are also welcome! Final details will be emailed to all participants once numbers are confirmed.
How many swimmers are you booking?
1 swimmer
2 swimmers
3 swimmers
4 swimmers
Swimmers
(1) Swimmer's Name
(1) Date of Birth
(1) Is this child a Swim Solutions student?
Yes ($30.00 per person for the Beach Safe Activity)
No ($35.00 per person for the Beach Safe Activity)
(1) Medical Conditions / Allergies
Yes
No
(1) Please list the Medical Conditions / Allergies
(1) Is this swimmer on any medication?
Yes
No
(1) Please list the medication/s
We ask for this information in case we need to pass it on during an emergency situation.
(1) Please tell us anything else that you think that we should know about this swimmer
(2) Swimmer's Name
(2) Date of Birth
(2) Is this child a Swim Solutions student?
Yes ($30.00 per person for the Beach Safe Activity)
No ($35.00 per person per person for the Beach Safe Activity)
(2) Medical Conditions / Allergies
Yes
No
(2) Please list the Medical Conditions / Allergies
(2) Is this swimmer on any medication?
Yes
No
(2) Please list the medication/s
We ask for this information in case we need to pass it on during an emergency situation.
(2) Please tell us anything else that you think that we should know about this swimmer
(3) Swimmer's Name
(3) Date of Birth
(3) Is this child a Swim Solutions student?
Yes ($30.00 per person for the Beach Safe Activity)
No ($35.00 per person per person for the Beach Safe Activity)
(3) Medical Conditions / Allergies
Yes
No
(3) Please list the Medical Conditions / Allergies
(3) Is this swimmer on any medication?
Yes
No
(3) Please list the medication/s
We ask for this information in case we need to pass it on during an emergency situation.
(3) Please tell us anything else that you think that we should know about this swimmer
(4) Swimmer's Name
(4) Date of Birth
(4) Is this child a Swim Solutions student?
Yes ($30.00 per person for the Beach Safe Activity)
No ($35.00 per person per person for the Beach Safe Activity)
(4) Medical Conditions / Allergies
Yes
No
(4) Please list the Medical Conditions / Allergies
(4) Is this swimmer on any medication?
Yes
No
(4) Please list the medication/s
We ask for this information in case we need to pass it on during an emergency situation.
(4) Please tell us anything else that you think that we should know about this swimmer
Section Break
Parent / Guardian / NOK (primary contact person)*
*
First
Last
Email
*
Phone (Mobile/s)
*
Phone (Home)
Phone (Work)
Other emergency contact (Name)
*
Other emergency contact (Phone)
*
How did you hear about this program?
I'm a Swim Solutions Customer
Aspley Swimming Club
Aspley State School Newsletter
Friends
Facebook
Instagram
Other
Where did you hear about this program?
Policies Acknowledgement
Terms & Conditions
Swim Solutions Pty Ltd respects the privacy of its clients and the confidentiality of the information provided to us. By accepting these Terms & Conditions you agree that the information on this form will be available to the Directors and employees of Swim Solutions Pty Ltd. I acknowledge that cancellation fees will apply for any cancellation after 25th September 2026 and that discounts do not apply to this program. Swim Solutions reserves the right to cancel or re-schedule classes if there are insufficient bookings, in this event credits / refunds will be provided.
I agree to Swim Solutions Terms & Conditions
*
Yes
Subscribe to e-newsletter
Yes
I give Swim Solutions permission to use photos / videos of me and / or my child/ren for advertising and promotional purposes. I acknowledge that permission may be revoked by me, in writing, at any time in the future. Once consent is revoked Swim Solutions will discontinue the use of images however I acknowledge that any existing material cannot be edited or deleted. I further acknowledge that participation is voluntary and that I will not receive financial compensation of any type associated with the taking or publication of these photographs or participation in company marketing materials or other company publications. I acknowledge and agree that publication of said photos confers no rights of ownership or royalties whatsoever. I hereby release Swim Solutions, its contractors, its employees and any third parties involved in the creation or publication of company publications, from liability for any claims by me or any third party in connection with my participation.
I give Swim Solutions permission to use photos / videos of me and / or my children for promotional purposes as per the above statement.
Yes
No
