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Wait-list 2010
Our club cannot accept any further new families this year, but you are welcome to register your
family on this wait-list form which will ensure you are kept informed as positions come available.

Parent/Caregiver Surname:
Parent/Caregiver name:
Address
Address
Suburb
City
Phone:          daytime:
Phone           evening:
E-mail
Childs Surname	First name	Second name	Date of birth

Existing member  Transfer from Swim Sensation Transfer from another club

 

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Annual fees  

2010 Annual Fees	1 Child	2 Children	3 Children	4 Children
Family Subscription	$  75.00	$  100.00	$  125.00	$  140.00