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Randfontein Enquiries

Please note that all fields marked with an * are required
Name and Surname *
Email *
Phone *
How many Children / Swimmers *
Age of swimmer/s ? ex. 5, 7, 11 etc (Separate by commas)
School/'s Attending *Separate by commas
What time slot will suit you ? *
Do you need Transport ? *
Preferred swimming days ? *
MondaysTuesdaysWednesdaysThursdaysFridaysSaturdays

Enquiry Type *
Where did you hear about us ? *
If Referral or Other, Please Specify
Upload Registration Form (if applicable) .doc, .docx & .pdf (Max 3Mb)
Your Message/Enquiry

Verification

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