Dusty's Swim School - Wai Splash

Wai Splash Community Pool
35 York Street
Dannevirke 4930

GST No: 059 939 491

06 374 7772

Welcome to Wai Splash Swim School enrolment form, please fill in your details below & someone will be in contact.

Full Name (Parent / Carer)

Email (required)

Mobile (required)

Home Telephone

Address

Student Name (required)

Date of Birth / Gender

Availability

Swimming ability, water confidence, experience etc

Additional Information / Special Requests