Aqua Fit Form - Swim Max

How did you hear about these classes? (please select all that apply)

Current Customer

Recommend By a Friend

Word of Mouth

Facebook

Instagram

Google Search (please let us know what you typed into Google in the "Notes" box)

Discussion Forum

Flyer

Cinema Advert

Swim Club (please let us know which club in the "Notes" box)

Other (please let us know in the "Notes" box)

Notes

Billing country

Billing city

Billing postal code

Billing street1

Billing street2

I confirm that I have read and agree to Swim Max’s Terms & Conditions including the refund policy

Photo/Video Consent — choose one:

I give consent for Swim Max to take and use photos/videos of myself or my child for marketing (social media, website, print) and internal staff training. I understand this consent can be withdrawn at any time. Withdrawal does not apply to previously captured media, which may still be used by Swim Max.

I do not give consent to Swim Max to use photos or videos of myself or my child for marketing.

Aqua Fit

Lesson Details

Swim Max (Limerick)
Tuesday 8:00 pm / Aqua Fit Tuesdays

APPLICATION INFORMATION

General

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