Waterwise Swim School Mosman Park

St Hilda's Aquatic Facility
Palmerston Street
Mosman Park WA 6012

9285 4170

Thank you for your enquiry. Please answer all questions below and one of our friendly staff will contact you as soon as possible.

Please take a moment to ensure that your contact details are correct so that you don't miss any communications or booking confirmations from us via phone or email.

Please answer each question per student. You can "Add another student" to tell us about each additional student.

If availability is the same for all students, you can enter that in the text field once for all students.

We hope to welcome you poolside soon!

Family Details

Full Name (Parent / Carer)

Contact Details

Email (required)

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Home Telephone

Home Address

Student Details

Student 1

Student Name (required)

Date of Birth / Gender

Availability

I have had lessons previously.

I have not had any lessons OR it has been sometime since I have had lessons.

I have the following abilities in the water:

I am specifically available (please tick all that apply):
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

My preference for lesson times on the above specified day(s) is:

I would like to:

Is there any special or medical information we should be aware of to best assist your child's learning experience?

Additional Information

Additional Information / Special Requests