Swimming Lessons Term 1

Your Name (required)

Your Child/ren's Name(s) (required)

Your Child/ren's Year level(s) (required)

Your Email (required)

Yes, I give permission for my child to attend School-based swimming sessions at the Derby Memorial Swimming Pool, travelling to and from the pools by bus.

My child has a pool pass.

My child will pay $10 to the teacher.

Please Sign (required)

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