Register for September School Holiday Stroke Intensives at stuartholme

Please complete the details below to register each swimmer.  Please contact us if you have any queries.

Part A: Swimmer's Details
Full Name *
Full Name
Date of Birth *
Date of Birth
Part B: Parent/Guardian Details
Full Name *
Full Name
Part C: Registration
Please indicate your preferred session time/s.
Stroke Intensive - Breathers
Working towards continuous stroke for freestyle and backstroke. Can kick and move arms. Cost: $20 per 30 min session or $50 for three sessions in one week.
Stroke Intensive - Dolphin
Focusing on learning breaststroke. Competent in freestyle and backstroke. Cost: $20 per 45 min session or $50 for 3 sessions in one week
Stroke Intensive - Stingray
Focus on learning butterfly. Competent in freestyle, backstroke and breaststroke. Cost: $20 per 45 min session or $50 for 3 sessions in one week
Stroke Intensive - Mini Squad
Focusing on specific skills development, like dives, turns, reading the clock and squad etiquette. Competent in all strokes. Cost: $20 per 1 hour session or $50 for three sessions in one week.
Stroke Intensive - Junior Squad
Focusing on a smooth transition to our main squad program, refining stroke skills, squad etiquette, and strength and conditioning. Competent in all strokes. Cost: $20 per 1.5 hour session or $50 for three sessions in one week
Stroke Intensive - Junior Development Squad
Catering for junior squad swimmers who attend regular squad training. Must be able to swim 50 m freestyle on 1 min 15 sec cycle. Cost: $15 per 1.5 hour session or $40 for three sessions in one week.
Consent and Waiver
I, either in my own right and/or as a person with lawful authority of the child referred to in this registration form, confirm that: * *
I consent to The Swim Academy staff or supervisors taking photographs of me and/or the child for use in The Swim Academy marketing material. I am aware that The Swim Academy staff members are not medically trained, but do have first aid training, and give consent to The Swim Academy staff to seek medical treatment for me and/or the child from a medical practitioner, hospital or ambulance service. In consideration of, and as a condition of The Swim Academy permitting me and/or the child to use the Stuartholme School Swimming Pool and the equipment contained within it (“Facilities”) or to participate in any Tour, Camp or other activity prompted by The Swim Academy (“Activity”), I hereby acknowledge that: 1. There are significant risks associated with the use of the Facilities or participation in any Activity. 2. Those risks include, but are not limited to, personal injury arising from use and misuse of the equipment, equipment failure and the acts, omissions or negligence of other Facilities users or Activity participants. 3. At all times whilst I and/or the child are using the Facilities or participating any Activity I will assume sole responsibility for all risks associated with property and person. 4. I will not hold The Swim Academy or its owners liable for any personal injury or loss or damage to my and/or the child’s property whatsoever, including caused by the negligence of The Swim Academy owners, their employees or agents. I also undertake not to sue The Swim Academy owners or their employees or agents for any loss or damages relating to personal injury or loss or damage to property arising from the use of the Facilities or participation in any Activity.
Part D: Health Information
Does your child suffer from any medical condition? *
Is your child allergic to anything? *
Payment Information
Please note that upon acceptance of your registration you will receive an invoice for fees detailing methods of payment. Please contact us if you have any queries.