Contact Us – Kaipara Coast Learn To Swim

Contact Kaipara Coast Learn To Swim

Please use the form below to register your child’s details for enrolment.

If you have more than one child please fill out the a separate form for each child.

Name

Phone Number

Childs Name

Date of Birth

Skill Level

Are there any medical conditions we should be aware of?

Yes No

Does your child have any educational needs or extra requirements we should be aware of ?

Yes No

Message

Term 1: 5 Feb – 13 April
Term 2: 29 April – 8 June
Term 3: 12 Aug – 28 Sept
Term 4: 14 Oct – 14 Dec

021 2481620

info.kaiparaswim@gmail.com

150 Parkhurst Road,
Parakai, Auckland,
New Zealand