Parent's Details

Guardian/parent's name in case of parent's absence

* Email

* Contact number

* FULL Address INCLUDING Postcode:

How did you hear about us?

Name of person who recommended us (if applicable)

Child's Details

Child's full name

Date of birth

DD/MM/YYYY

Stage

Venue day/time

* SEN & Medical Info

SEN: Usually, we are unable to provide swimming lessons for children with SEN, due to health & safety issues in a group lesson/water environment and us not holding specialised SEN swim teaching qualifications. Please contact us if you wish to discuss. This includes, but not limited to, pre/pending/current/post assessment of sensory impairments, special education needs (SEN), spectrum conditions, learning difficulties etc. Please see our terms and conditions for further information. For health and safety, must disclose Medical conditions such as asthma, epilepsy, diabetes etc.

Can your child swim without arm discs?

How many metres Can they swim?

Second child's details (if applicable)

Full name

Date of birth

DD/MM/YYYY

Stage

SEN & Medical Info

SEN: Usually, we are unable to provide swimming lessons for children with SEN, due to health & safety issues in a group lesson/water environment and us not holding specialised SEN swim teaching qualifications. Please contact us if you wish to discuss. This includes, but not limited to, pre/pending/current/post assessment of sensory impairments, special education needs (SEN), spectrum conditions, learning difficulties etc. Please see our terms and conditions for further information. For health and safety, must disclose Medical conditions such as asthma, epilepsy, diabetes etc.

Can your child swim without arm bands?

How many metres can they swim?

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Terms & Conditions

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