Pre-school Swim Waiting List Application - Perth Leisure Pool

Please complete the application form below. Please note that this application form is for Pre-School children wishing to attend Perth Leisure Pool swimming lessons ONLY.

Once complete, the form will be sent to our swim team who will add your child onto our waiting list. In due course, you'll receive an email allowing you to select a preferred day and time for a swim lesson.

If you have more than one child to add to our waiting list, a request form must be completed for each child.

Please note, we are not yet accepting waiting list applications for children at school. Children must be at least 3 years of age before being offered a preschool lesson space. If your child is under 3, they will be added to the list but not contacted until after their 3rd birthday.
Please enter a name.

Please enter the name of the child who will be attending the lesson.

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Please enter the child's Date of Birth. (DD/MM/YYYY)

Please enter a valid email address.

Please enter your email address.

Please enter a valid number.

Please enter your mobile number.

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Please enter your postcode.

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Please state the year which your child will be starting school.

Child's Medical Details

Please put the name of your child's doctor.

Please enter the doctors number.

This cannot be blank. If no medication is currently being taken, please put N/A

This cannot be empty. If this does not apply to your child, please put N/A.

Data Protection:
The information provided by you, about you and your child on this form, will only be used for the purposes of rebooking a gymnastics session. We are committed to complying with the General Data Protection Regulation and the Data Protection Act 2018. For further information on how we process personal data, please see our privacy policy available on our website.

Please select at least one session.

By selecting the above you agree to receiving communications regarding your accounts, subscriptions, and participating activities. You may receive service messages. Your data may be shared with third parties for agreed data processing such as the collection of subscription fees. Please refer to our privacy policy for more details.