Missed Lesson

Please answer all fields to notify State Swim of your missed lesson.

Your Child’s first name
Your Child’s Surname
Your Email Address
Swimming School
Class Name
Swim ‘n’ Play Program Water Babies Kindy Glides
400 Gold Program Torpedos Marlin Dolphin Sharks 100m Bronze 200m Silver 400m Gold
Health and Sport Team Bronze Team Silver Team Gold
Class Day
Class Start Time
Payment Type Monthly Pay as you go
How many lessons will you be away for? 1 2 3 4

If you will be away for more than 2 lessons please contact the school to ensure your lesson time will be held.

Head Office

Level 1, 160 Canning Highway
East Fremantle WA 6158

All Correspondence to
PO Box 232
Palmyra WA 6957

T (08) 9339 4518
F (08) 9339 8097
E admin@stateswim.com.au