RISE Swimming FREE Assessment

Child's First Name *

Child's Last Name *

What Grade/Class is your child in? *

What school does your child attend?

For which session would you like your child assessed for?

Learn To Swim

Squad

Is your child part of our Connecting Through Sport program?

Yes

No

Parent/Caregiver First Name *

Parent/Caregiver Last Name *

Mobile Number

Address *

City/Suburb *

Postcode *

Email Address *

Other Information

Terms and Conditions *