Swimming Lesson Online Enrolment – Mont Albert North Pool Swimming Lesson Online Enrolment Form - Mont Albert North Pool If you would like to enrol in upcoming swimming lessons, you can register your time preferences here. You’ll have the opportunity to add 5 day/time preferences and pay a $70.00 deposit to put towards your class. According to the class day/time preferences you outline, your class details will be confirmed via email. If a suitable class time cannot be found your deposit is fully refundable. Please note that a secure online payment gateway is included in this form. You will be asked to pay by credit card at the end. (Note: Secure online payment is via eWay, Australia's leading payment gateway. All communication between this form and eWay is encrypted using an SSL certificate. Healthways does not store your credit card information.) Student’s Details:What program do you want to enrol in?*BABY SWIM (4-6mths)AQUA-BUBS (6-18mths)AQUA-TOTS (1-3yrs)PRE-SCHOOL (3-5yrs)LEARN-TO-SWIM (5+yrs)SQUAD (Invitation Only)ADULTSPRIVATE LESSONSName* First Last Date of Birth* DD MM YYYY The BABY SWIM (4-6mth) old classes are FREE sessions that we offer to introduce parents and children to the water. No deposit is required for these sessions as they are FREE. Information about BABY SWIM and bookings for BABY SWIM can be made using a different online form. CLICK HERE to go to the page all about BABY SWIM. Thank you.Have you swum at Healthways before?*YesNoGreat! We'll have your last skill level grading on file and will be able to place you in a class using that. If you think that isn't going to be appropriate, let us know by writing any comments here.Are you a beginner?*YesNo, I have done some classes elsewhereGreat. You'll start off in a beginner class for your age group and work through the skill levels from there.Great. So that we know what skill level to start you off in, let us know about what skills you can do by writing any comments here. Thanks.Please select your preferred pool location:*Mont Albert North - Healthways Recreation Centre, 1-11 Arcade Road, Mont Albert North 3129Ringwood - Healthways Aquatic Centre, 108-110 New Street, Ringwood 3134It appears that you want to swim at our Ringwood Pool. This is the form for our Mont Albert Pool. Please CLICK HERE to go to the enrollment form for our Ringwood Pool. Thank you.Mont Albert North Day/Time Preferences:The AQUA-BUB (6-18mths) program runs at the following times at our Mont Albert North pool. Please note your day/time preferences below, with 1 being your 1st preference. If there's any other information you'd like to go with your enrollment please write that too. You can have a max. of 5 preferences. eg: * Thursday morning - 1, can do after 10am. * Friday morning - 2, can do anytime * Monday evening - 3, can do 6-7pm.MONDAY:Monday Morning (9.00am-12.00pm)TUESDAY:Tuesday Morning (9.00am-12.00pm)MONDAY:Wednesday Morning (9.00am-12.00pm)THURSDAY:Thursday Morning (9.00am-12.00pm)FRIDAY:Friday Morning (9.00am-12.00pm)SATURDAY:Saturday Morning (8.00am-12.00pm)Saturday Afternoon (12.00pm-4.00pm)SUNDAY:Sunday Morning (8.30am-12.00pm)Sunday Afternoon (12.00pm-4.00pm)Mont Albert North Day/Time Preferences:The AQUA-TOT (1-3yrs) program runs at the following times at our Mont Albert North pool. Please note your day/time preferences below, with 1 being your 1st preference. If there's any other information you'd like to go with your enrollment please write that too. You can have a max. of 5 preferences. eg: * Thursday morning - 1, can do after 10am. * Friday morning - 2, can do anytime * Monday evening - 3, can do 6-7pm.MONDAY:Monday Morning (9.00am-12.00pm)TUESDAY:Tuesday Morning (9.00am-12.00pm)WEDNESDAY:Wednesday Morning (9.00am-12.00pm)THURSDAY:Thursday Morning (9.00am-12.00pm)FRIDAY:Friday Morning (9.00am-12.00pm)SATURDAY:Saturday Morning (8.00am-12.00pm)Saturday Afternoon (12.00pm-4.00pm)SUNDAY:Sunday Morning (8.30am-12.00pm)Sunday Afternoon (12.00pm-4.00pm)Mont Albert North Day/Time Preferences:The PRE-SCHOOL (3-5yrs) program runs at the following times at our Mont Albert North pool. Please note your day/time preferences below, with 1 being your 1st preference. If there's any other information you'd like to go with your enrollment please write that too. You can have a max. of 5 preferences. eg: * Thursday morning - 1, can do after 10am. * Friday morning - 2, can do anytime * Monday evening - 3, can do 6-7pm.MONDAY:Monday Morning (9.00am-12.00pm)Monday Afterschool (3.45-6.15pm)TUESDAY:Tuesday Morning (9.00am-12.00pm)Tuesday Afterschool (3.45pm-6.15pm)WEDNESDAY:Wednesday Morning (9.00am-12.00pm)Wednesday Afterschool (3.45pm-6.15pm)THURSDAY:Thursday Morning (9.00am-12.00pm)Thursday Afterschool (3.45pm-6.15pm)FRIDAY:Friday Morning (9.00am-12.00pm)Friday Afterschool (3.45pm-6.15pm)SATURDAY:Saturday Morning (8.00am-12.00pm)Saturday Afternoon (12.00pm-4.00pm)SUNDAY:Sunday Morning (8.30am-12.00pm)Sunday Afternoon (12.00pm-4.00pm)Mont Albert North Day/Time Preferences:The LEARN-TO-SWIM (5+yrs) program runs at the following times at our Mont Albert North pool. Please note your day/time preferences below, with 1 being your 1st preference. If there's any other information you'd like to go with your enrollment please write that too. You can have a max. of 5 preferences. eg: * Thursday morning - 1, can do after 10am. * Friday morning - 2, can do anytime * Monday evening - 3, can do 6-7pm.MONDAY:Monday Afterschool (3.45-6.15pm)Monday Evening (6.15pm-7.30pm)TUESDAY:Tuesday Afterschool (3.45pm-6.15pm)Tuesday Evening (6.15pm-7.30pm)WEDNESDAY:Wednesday Afterschool (3.45pm-6.15pm)Wednesday Evening (6.15pm-7.30pm)THURSDAY:Thursday Afterschool (3.45pm-6.15pm)Thursday Evening (6.15pm-7.30pm)FRIDAY:Friday Afterschool (3.45pm-6.15pm)Friday Evening (6.15pm-7.30pm)SATURDAY:Saturday Morning (7.45-12.00pm)Saturday Afternoon (12.00pm-4.00pm)SUNDAY:Sunday Morning (8.30am-12.00pm)Sunday Afternoon (12.00pm-4.00pm)Mont Albert North Day/Time Preferences:The SQUAD (Invitation Only) program runs at the following times at our Mont Albert North pool. Please note your day/time preferences below, with 1 being your 1st preference. If there's any other information you'd like to go with your enrollment please write that too. You can have a max. of 5 preferences. eg: * Thursday morning - 1, can do after 10am. * Friday morning - 2, can do anytime * Monday evening - 3, can do 6-7pm.MONDAY:Monday (6.30pm-7.30pm)TUESDAY:Tuesday (6.30pm-7.30pm)WEDNESDAY:Wednesday (6.30pm-7.30pm)THURSDAY:Thursday (6.30pm-7.30pm)FRIDAY:Friday (6.30pm-7.30pm)SATURDAY:Saturday Afternoon (4.00-5.00pm)Mont Albert North Day/Time Preferences:The ADULT program runs at the following times at our Mont Albert North pool. Please note your day/time preferences below, with 1 being your 1st preference. If there's any other information you'd like to go with your enrollment please write that too. You can have a max. of 5 preferences. eg: * Thursday morning - 1, can do after 10am. * Friday morning - 2, can do anytime * Monday evening - 3, can do 6-7pm.MONDAY:Monday Morning (9.00am-12.00pm)Monday Evening (6.30pm-9.30pm)TUESDAY:Tuesday Morning (9.00am-12.00pm)Tuesday Evening (6.15pm-7.30pm)WEDNESDAY:Wednesday Morning (9.00am-12.00pm)Wednesday Evening (6.30pm-9.30pm)THURSDAY:Thursday Morning (9.00am-12.00pm)Thursday Evening (6.15pm-7.30pm)FRIDAY:Friday Morning (9.00am-12.00pm)Friday Evening (6.30pm-8.30pm)SATURDAY:Saturday Afternoon (12.00pm-4.00pm)SUNDAY:Sunday Afternoon (12.00pm-4.00pm)Mont Albert North Day/Time Preferences:PRIVATE LESSONS run at the following times at our Mont Albert North pool. Please note your day/time preferences below, with 1 being your 1st preference. If there's any other information you'd like to go with your enrollment please write that too. You can have a max. of 5 preferences. eg: * Thursday morning - 1, can do after 10am. * Friday morning - 2, can do anytime * Monday evening - 3, can do 6-7pm.MONDAY:Monday Morning (9.00am-12.00pm)Monday Afterschool (3.45-6.15pm)Monday Evening (6.15pm-9.30pm)TUESDAY:Tuesday Morning (9.00am-12.00pm)Tuesday Afterschool (3.45pm-6.15pm)Tuesday Evening (6.15pm-7.30pm)WEDNESDAY:Wednesday Morning (9.00am-12.00pm)Wednesday Afterschool (3.45pm-6.15pm)Wednesday Evening (6.15pm-9.30pm)THURSDAY:Thursday Morning (9.00am-12.00pm)Thursday Afterschool (3.45pm-6.15pm)Thursday Evening (6.15pm-7.30pm)FRIDAY:Friday Morning (9.00am-12.00pm)Friday Afterschool (3.45pm-6.15pm)Friday Evening (6.15pm-8.30pm)SATURDAY:Saturday Afternoon (12.00pm-4.00pm)SUNDAY:Sunday Afternoon (12.00pm-4.00pm)Other:Is there anything else we need to know about your re-enrolment? Eg. Special needs, matching up siblings, etc.NoYesPlease provide details*Total $ 0.00 Payment:Online enrolment requires a deposit which goes towards your next term fees. The balance is then due in week 1 next term. If you are not able to be placed as requested, your deposit is fully refundable.Please enter your credit card details:*Secure payment via eWay, Australia's leading payment gateway. All communication between this form and eWay is encrypted using an SSL certificate. Healthways does not store your credit card information. DiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Expiration Date Security Code Cardholder Name Contact Details:My name is:* First Last Contact phone number:*Secondary phone number:Email:* Enter Email Confirm Email Terms and Conditions:* I accept the Swim School's Policies and Procedures. Please CLICK HERE for the 'Policies and Procedures Brochure'. BEFORE CLICKING SUBMIT...Please review your entries above and ensure they are correct. When you click 'Submit' your form will be processed.AFTER CLICKING SUBMIT...Please click 'Submit' only ONCE and look for the CONFIRMATION message. When you click 'Submit' you will see either a confirmation message or there will be parts of your form highlighted red to indicate information that is not filled in correctly. If you can still read this sentence after clicking 'Submit', you have not submitted the form correctly. Please review your form and try again. Thank you.
