North Wyong Aqua Centre

Enrolment Form

Please complete the below enrolment form and a member of our team will be in contact with you to confirm your enrolment.

Family Contact Details

Title:

Given Name:

Surname:

Contact Number (Home):

Contact Number (Mobile):

Contact Number (Work):

E-Mail:

Student Details

Child's Name DOB Gender (M/F) Medical Conditions
1.
2.
3.
4.
5.

Lesson Availability

Please select all times that are suitable:

TIMES MON TUE WED THU FRI SAT SUN
AM Classes
PM Classes

 

swimline

You can stay in control with North Wyong Aqua Centre's SwimLine. Book make-ups online and receive instant confirmation. Check your Fee balance and make payments 24/7.

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