Aqua Aerobics

Spaces available: 8
45mins

Price: 120.00 €

First Name

Surname

Gender

Male Female

Date of Birth

Mobile Phone Number

Emergency Contact Name

Emergency Contact Number

Disabilities (Physical or Hidden) ie: Asthma, Diabetes, Epilepsy, Heart Condition, Autism etc.. (Please enter ‘None’ if not applicable)

How did you hear about these classes? (please select all that apply)

Current Customer

Recommend By a Friend

Friend details (name, email):

Word of Mouth

Facebook

Instagram

Google Search (please let us know what you typed into Google in the "Notes" box)

Discussion Forum

Flyer

Radio Advert

Swim Club (please let us know which club in the "Notes" box)

Other (please let us know in the "Notes" box)

If you selected 'Other' in the previous question, please give details:

Notes

Billing country

Billing city

Billing postal code

Billing street1

Billing street2

We have read and agreed to the Terms and Conditions

Unit 5A Delta Retail Park, Ballysimon Road, Limerick, V94 YW58

Phone: 061 545454

Please email swim@swimmax.ie for bookings and other queries

Your email

It’s not the length of the pool, it’s the skill in the stroke