Enrol Today . Enrolment Form Parent or Guardian's Names*Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Email* Bunya Pool Parent Assisted 3-4 years 4-5 years (not at school yet) Early Primary Samford Pool We're up to Freestyle and Backstroke Getting onto Breaststroke and Butterfly Let's talk SQUAD Not sure, can I book a call please? Swimmers Name & DOB*Swimmers Name & DOBSwimmers Name & DOBSwimmers Name & DOBPreferred Swim Times*In case of emergency please contact (someone other than primary contact)*Include name, number and relationship to childIs there any behavioural or medical issues we should know about?*I Hereby Authorise The Obtaining Of Such Medical Assistance As Required In The Event Of Accident And Emergency* Yes No Δ