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Welcome to The Reef Swim School! Please fill in your details in the registration form in capital letters (except email addresses). If you are an adult student, fill the contact # 1 section, and student # 1 section. Where you have grade level, select 'adult'.

(*)denotes required fields

Referral Information

How did you hear about us?

Referral Name

Family Information

Family Location*

Family Last Name*

First Person Contact*

(who would you like us to reach for makeup class arrangements, invoices and receipts?)

Contact #1

First Name*

Last Name*

Relationship*

HOW CAN WE CONTACT YOU?

Cell Phone*

Whatsapp Number*

PORTAL ACCESS (YOUR EMAIL IS YOUR LOGIN)

Email address*(Emails are kept confidential)

Confirm Email*

Contact #2

First Name*

Last Name*

Relationship*

HOW CAN WE CONTACT YOU?

Cell Phone*

Whatsapp Number*

Email address*

Confirm Email*

Student 1 details

Upload Passport*

First Name*

Last Name*

Gender*

Birth Date*

ADDITIONAL INFO

School

Grade Level

SWIM SCHEDULE

Lesson Plan

Lesson Days*

Sunday

Tuesday

Friday

Saturday

STUDENT MEDICAL HISTORY

Please tick where applicable to help us understand student better.

Asthmatic

Autistic

ADHD

Spinal cord injury

Hypertensive

Arthritis

Susceptible to cold

Disabilities/special needs/others please state (Leave blank if NONE)

Has this student had a drowning experience?(Select yes/no) if yes please tell us about the experience)

Swim Fees

Payment Code* (Code given after payment confirmation)

Fee Categories*

No of classes*

Required Policies

PAYMENT POLICY

I've read the above and agree

MAKEUP CLASS POLICY

I've read the above and agree

SAFETY POLICY

I've read the above and agree

COVID-19 POLICY

I've read the above and agree

CONSENT FORM

I've read the above and agree