School Swimming Program booking request

This form is for schools to request swimming lessons at a Yarra Leisure facility. Within this form, you are able to request multiple swimming lesson bookings.

1. School name. *This question is required.

2. School type: *This question is required.

3. Contact details: *This question is required.

First Name

Last Name

School Street Address

Suburb

Postcode

Email Address

Phone Number

4. How many group bookings do you wish to request? (For example, three Prep classes attending the same scheduled session together is an example of one group booking. Alternatively, three Prep classes attending three different sessions on the same day is an example of three group bookings. The number you list in the text box below will prompt the number of group booking forms (page 2) that you will need to fill out.) *This question is required. This question requires a valid number format.