Makeup Lesson Request Form

Please complete the form below to request a makeup lesson for your swimmer.

Makeup lesson request form

"*" indicates required fields

Comments

This field is for validation purposes and should be left unchanged.

Last Name*

Guardian 1's Name*

Email*

Contact Number*

Last Name*

First Name*

Current day of lesson

Current time of lesson

Preferred make up lesson date (dd/mm/yyyy)*

Preferred make up lesson date (dd/mm/yyyy)

Last Name

First Name

Current day of lesson

Current time of lesson

Preferred make up lesson date (dd/mm/yyyy)

Comments

Please note: Term fees must be paid in full for your makeup lesson request to be processed. Please read Leopold Swim School Makeup lesson policy.