REGISTER BELOW FOR YOUR OPTUS JUNIOR DOLPHIN EVENT
Parent First Name
*
Parent Last Name
*
Email
*
Mobile
Postcode
Location
*
Swimmer Firstname
*
Swimmer Surname
*
Age
*
Ability
*
25m
50m
100m
100m+
Activity
*
Clinic 1
Clinic 2
Clinic 3
Clinic 4
Optus Swim Carnival
Swimmer Firstname
Swimmer Surname
Age
Ability
25m
50m
100m
100m+
Activity
Clinic 1
Clinic 2
Clinic 3
Clinic 4
Optus Swim Carnival
Swimmer Firstname
Swimmer Surname
Age
Ability
25m
50m
100m
100m+
Activity
Clinic 1
Clinic 2
Clinic 3
Clinic 4
Optus Swim Carnival
Swimmer Firstname
Swimmer Surname
Age
Ability
25m
50m
100m
100m+
Activity
Clinic 1
Clinic 2
Clinic 3
Clinic 4
Optus Swim Carnival
Swimmer Firstname
Swimmer Surname
Age
Ability
25m
50m
100m
100m+
Activity
Clinic 1
Clinic 2
Clinic 3
Clinic 4
Optus Swim Carnival
Swimmer Firstname
Swimmer Surname
Age
Ability
25m
50m
100m
100m+
Activity
Clinic 1
Clinic 2
Clinic 3
Clinic 4
Optus Swim Carnival
Agreed to T&C
True
I would like to Subscribe to Swimming Australia's eNewsletter
*
Subscribed
Unsubscribed