Heroes House, Alexandria Request Form

Parent/Guardian Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Student Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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We only need the one name for reference purposes.

New or Past Student

New Student - Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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30-minute lessons will be offered in the Sessions below:

  • Monday to Friday, 10:00am-1:00pm
  • Monday to Friday, 3:00pm-6:00pm
  • Saturday, TBC

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I'd also like to know more about: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Heroes House, Alexandria Request Form

Heroes House, Alexandria Request Form

Parent/Guardian Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Are you currently swimming with Little Heroes? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Student Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

New or Past Student

New Student - Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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D.O.B {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Tell us about your child {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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30-minute lessons will be offered in the Sessions below:

  • Monday to Friday, 10:00am-1:00pm
  • Monday to Friday, 3:00pm-6:00pm
  • Saturday, TBC

Preferred Day 1 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Preferred Time 1 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Preferred Day 2 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Preferred Time 2 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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I'd also like to know more about: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Additional Notes {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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