Parent's Full name:
First Name
Last Name
Contact Number:
Email
example@example.com
Swimmers Full Name:
First Name
Last Name
Swimmers Date of Birth:
Does Your child suffer from any Health conditions: please state here no matter how minor:
Parent and child classes only for ages 1month-4years. Please tick your availability These classes run Mondays-Fridays 08.30-15.30
Monday AM (08.30am-12.00) 1mth-4yrs
Monday PM (12.00-16.00) 1mth-4yrs
Tuesday Am (08.30am-12.00) 1mth-4yrs
Tuesday Pm (12.00-16.00) 1mth-4yrs
Wednesday Am (08.30-12.00) 1mth-4yrs
Wednesday Pm (12.00-16.00) 1mth-4yrs
Thursday Am (08.30-12.00) 1mth-4yrs
Thursday Pm (12.00-16.00) 1mth-4yrs
Friday Am (08.30-12.00) 1mth-4yrs
Friday Pm (12.00-16.00) 1mth-4yrs
Afterschool lessons 4years-8years please tick your availability These classes run Mondays-Fridays 4pm-7pm
Monday Evenings
Tuesday Evenings
Wednesday Evenings
Thursday Evenings
Friday Evenings
Please Tick your child's current swim ability/Level
Beginner
nervous
confident
After school Level 1 - unable to swim unaided
After School Level 2 - Can swim 3 metres with support/aids
After School Level 3 - Can swim 3-4 metres unaided
After School Level 4 - Can swim 4-5 metres unaided
After School Level 5 - can swim 6 metres unaided
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