New Customer Enrolment Form

Learn to Swim Program Application Form

To enrol your child in our Swim@Barker program, please complete and submit this form. If your child has any medical conditions or health problems, please provide as much detail in the space below.




Participant 1 Details

Participant 1 Details

Enter details for participant 1

Participant 2 Details

Enter details for participant 2

Participant 3 Details

Enter details for participant 3