Prouse Swim School

339 Golf Course Road
HAVEN VIC 3401

0428 403840

Thank you for your enquiry regarding swimming lessons for your child. If you could please answer the questions below to help us establish if we are able to offer your child a spot in our timetable.

Family Details

Full Name (Parent / Carer)

Contact Details

Email (required)

Mobile (required)

Home Telephone

Address

Student Details

Student 1

Student Name (required)

Date of Birth / Gender

Availability

Has your child had lessons before?

If your child has had previous lessons or currently enrolled, what level are they?

Additional Information

Additional Information / Special Requests