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Registration Form

Full Name*

Email*

Phone*

Birthday*

Month

Day

Year

Next of Kin Number*

Package Choice*

Package 1 - 1x Workshop

Package 1 - 1x WorkshopZAR 965

Package 2 - 2x Workshops (or 2x Participants)

Package 2 - 2x Workshops (or 2x Participants) ZAR 1,737

Package 3 - 3x Workshops
(or 3x Participants)

Package 3 - 3x Workshops (or 3x Participants)ZAR 2,316

Does the participant have any medical conditions of which the instructor should be aware of? (ie: diabetes, asthma, epilepsy or joint injuries)?*

Yes

No

If "Yes" please elaborate

Starting Level*

Space Availablilty Update

Slots are held on a paid basis only.

07th Nov - (FULL)

08th Nov - (FULL) Beginners, (FULL) Intermediates & 2 Advance

14th Nov - (FULL) Beginners & 1 Intermediate

15th Nov - (FULL)

21st Nov - 2 Intermediates & 2 Advance

22nd Nov - 6 Begginners, (FULL) Intermediates & 2 Advance

5th Dec - 3 Beginners & 3 Intermediate

6th Dec - 8 Begginners, 4 Intermediates & 1 Advance

12th Dec - 3 Beginners & 3 Advance

13th Dec - 8 Begginners, 4 Intermediates & 4 Advance

Saturday's (14:00-17:00) Craighall Park

14th November (Intermediate slots only)

21st November

5th December

Sunday's (09:00-12:00) Douglasdale

08th November (Advance slots only)

15th November (Advance slots only)

22nd November

6th December

13th December

Looking For A Later Date?

Book with a Friend (For Package 2/3)

Refund Policy & Indemnity Agreement

Please read Indemnity Terms carefully before confirming your booking.

I/we confirm that I have read and accept the indemnity terms.

I accept that once payment has been made, no refunds will be issued. I may reschedule my workshop booking within 30 days of the original workshop date, subject to availability.

I acknowledge that no changes or rescheduling are permitted 24 hours before the scheduled workshop unless a valid medical certificate is provided. Cancellations within 24 hours will result in the booking being forfeited, with no credit or rescheduling, unless a medical certificate is submitted within 7 days of the missed workshop.

If I choose Package 2 or 3, I accept that I have up to 2 months to complete Package 2, and up to 3 months to complete Package 3.

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Not a fan of online payment?

EFTs are welcome too.

Banking Details

Bank Name: First National Bank

Acc Name: Azure Dreams

Acc Number: 63141754069

Bank Code: 250655

Reference: Name & Package

Send Proof Of Payment

azureswimsa@gmail.com

+27 68 398 7763

Contact Us

First name*

Last name

Phone*

Email*

Write a message

We comply with POPI regulations.

Azure Dreams Enterprise PTY Ltd T/A Azure Swim Academy

Saturday Workshops

36 Buckingham Ave

Sunday
Workshops

6 Livingstone Pl

Phone

Email

azureswimsa@gmail.com

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