Application Form
https://www.acelearntoswim.co.nz/ - Application Form
Family Name
Contact Name
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Parent
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Physical Address
Phone Number
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Student 1
Student Name
Sex
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Male
Female
D.O.B
Medical Conditions
Level Prediction
Time Preference
Student 2
Student Name
Sex
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Male
Female
D.O.B
Medical Conditions
Level Prediction
Time Preference
Student 3
Student Name
Sex
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Male
Female
D.O.B
Medical Conditions
Level Prediction
Time Preference
Additional Information
Additional Information / Comments
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