APPLICATION FORM

Virgin Active

Swimming Terms & Fees:

4th Term: 11 October 2021 to 13 December 2021 - R2040.00 per term R680 per month

1st Term: 10 Janurary 2022 to 25 March 2022 - R2040

2nd Term: 4 April 2022 to 24 June 2022 - R2040.00 per term R680 per month

3rd Term: 18 July 2022 to 30 September 2022 - R2040.00 per term R680 per month

4th Term: 10 October 2022 to 14 December 2022 - R2040.00 per term R680 per month

 
 

    Monday & Wednesday
    15:00 - 16:0016:00 - 17:0017:00 - 18:00

    Tuesday & Thursday
    16:00 - 17:0017:00 - 18:00

    Child full name*

    Name of school*

    Grade*

    Child's birth date*

    Age*

    Gender*
    MaleFemale

    Medical condition*

    Previous swimming experience*

    Mother's full name*

    Email address*

    Cell number*

    Home tel number

    Address*

    Father's full name*

    Email address*

    Cell number*

    Home tel number

    Address*

    Additional notes


    I acknowledge that I fully understand and agree to the rules, regulations and Important Notes of AquaSplash Swimmingschool. I hereby also accept Aquasplash Swimming School's indemnity agreement.*

     
    Important notes

    Swimming caps are compulsory.

    Swimming will continue in case of rainy weather.

    No lessons on public holidays.

    Registration will only be per term as follows:

    Term 4: 11 October 2021 to 13 December 2021

    Term 1: 10 January 2022 to 25 March 2022

    Term 2: 4 April 2022 to 24 June 2022

    Term 3: 18 July 2022 to 30 September 2022

    Term 4: 10 October 2022 to 14 December 2022

    No cancelation will be accepted during terms.

    Swimming fees are can be paid per Term in advance or Monthly before the 7th of each month.

    A deposit of R680 is required.


     

    Have a Question?

    082 788 7748
    083 391 9283