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RISE Returning Swimmer Booking
RISE Returning Swimmer
Child's Details
Child's First Name
*
Child's Last Name
*
What Grade/Class is your child in?
*
What school does your child attend?
*
What session is your child currently participating in?
Please select your childs session:
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Learn To Swim
Squad
Which day was their lesson on:
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Is your child part of our Connecting Through Sport program?
*
Yes
No
Parent/Caregiver Details
Parent/Caregiver First Name
*
Parent/Caregiver Last Name
*
Mobile Number
Address
*
City/Suburb
*
Postcode
*
Email Address
*
Other Information
Other information we need to know about your child, such as, medical conditions, special needs etc.
Photo Consent - You hereby grant permission to RISE Sport and it's representatives, to take and use photographs and/or digital images and/or video footage of You and/or Your child for use in media releases, media articles including newspapers, radio, television, printed publications and/or educational materials. This may also include electronic publications and communications such as RISE Sport social media and website. You agree that You or Your child's name and identity may be revealed in descriptive text or commentary in connection with the image(s). You authorise the use of these images without compensation to You. All negatives, prints, digital reproductions and shall be the property of RISE Sport.
*
I DO give consent
I DO NOT give consent
Terms and Conditions
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I agree to the
Terms and Conditions
If you are human, leave this field blank.
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