Enrolment and Medical History Form Swimmers name *Date of birth *Gender *Previous swimming awardsContact Name *Contact number *Home Address *Email Address *Which term would you like to enrol on to? *Select termTerm 1 2026: 5th January - 5th April (13 weeks)Term 2 2026: 6th April - 28th June (12 weeks)Term 3 2026: 29th June - 20th September (12 weeks)Term 4 2026: 21st September - 20th December (13 weeks)Which pool would you like to enrol at? *Select poolBritannia Pool, Great Tey Road, Colchester, CO6 1HZYou Fit Health Club, Holiday Inn, Abbots Lane, Eight Ash Green, CO6 3QKPrimrose pool, Primrose Lane, Ramsey, Harwich, CO12 5NBDay of class (Britannia Pool) *Select dayMondayTuesdayWednesdayThursdayFridaySaturdaySundayTime of class (Mondays at Britannia Pool) *Select time9.30am10.00am10.30am11.00am4pm4.30pm5pm5.30pm6pm6.30pm7pmTime of class (Tuesdays at Britannia Pool) *Select time9.30am10.00am10.30am11.00am11.30am12.00pm4pm4.30pm5pm5.30pm6pm6.30pm7pmTime of class (Wednesdays at Britannia Pool) *Select time9.30am10.00am10.30am11.00am11.30am12.00pm4pm4.30pm5pm5.30pm6pm7pmTime of class (Thursdays at Britannia Pool) *Select time9.30am10.00am10.30am11.00am11.30am4pm4.30pm5pm5.30pm6pm6.30pm7pmTime of class (Fridays at Britannia Pool) *Select time9.30am10.00am10.30am11.0011.304pm4.30pm5pm5.30pm6pm6.30pm7pmTime of class (Saturdays at Britannia Pool) *Select time8.00am8.30am9.00am9.30am10.00am10.30am11.00am11.30am12.00pm12.30pm1.00pm1.30pm2.00pmTime of class (Sundays at Britannia Pool) *Select time8.30am9.00am9.30am10.00am10.30am11.00am11.30am12.00pm12.30pm1.00pmDay of class (You Fit Health Club) *Select dayTuesdayThursdaySaturdayTime of class (Tuesdays at You Fit Health Club) *Select time4.00pm4.30pm5.00pm5.30pm6.00pm6.30pmTime of class (Thursdays at You Fit Health Club) *Select time4.00pm4.30pm5.00pm5.15pm5.30pm5.45pm6.00pm6.30pmTime of class (Saturdays at You Fit Health Club) *Select time8.30am9.00am9.30am10.00am10.30am11.00am11.30amDay of class (Primrose Pool) *Select dayMondayTuesdayWednesdayThursdaySaturdayTime of class (Mondays at Primrose Pool) *Select time10.00am10.30am11.00am3.30pm4.00pm4.30pm5.00pm5.30pmTime of class (Tuesdays at Primrose Pool) *Select time10.00am10.30am11am3.45pm4.15pm4.45pm5.15pm5.45pm6.15pmTime of class (Wednesdays at Primrose Pool) *Select time10.00am10.30am11.00am3.45pm4.15pm4.45pm5.15pm5.45pm6.15pmTime of class (Thursdays at Primrose Pool) *Select time3.45pm4.15pm4.45pm5.15pm5.45pmTime of class (Saturdays at Primrose Pool) *Select time8.00am8.30am9.00am9.30am10.00am10.30am11.00am11.30amMedical Information and / or any other information that the swimming teachers should be aware of in relation to swimming and tuition *Are you booking an adult and child class? If so, please select the most accurate description for the adult attending.Choose description1. Non swimmer2. Can swim / nervous in the water3. Can swim / confident in the waterTerm 1 2025: 12 lessons (£11.46 + VAT) TOTAL £165.00 12 week course: Saturday 6th January – Sunday 30th March 2025 BACS: swim2swim Ltd. Account number 00100758. Sort Code 826315 Ref: swimmers name Cheque: Payable to swim2swim Ltd with swimmers’ name on back Re-enrolments are sent by email week 7 of each term if you are not re-enrolling please let us know. Term 2 2025: 13 lessons (£11.46 + VAT) TOTAL £178.75 13 week course: Monday 31st March – Sunday 29th June 2025 BACS: swim2swim Ltd. Account number 00100758. Sort Code 826315 Ref: swimmers name Cheque: Payable to swim2swim Ltd with swimmers’ name on back Re-enrolments are sent by email week 7 of each term if you are not re-enrolling please let us know. Term 3 2025: 12 lessons (£11.46 + VAT) TOTAL £165.00 12 week course: Monday 30th June – Sunday 21st September 2025 BACS: swim2swim Ltd. Account number 00100758. Sort Code 826315 Ref: swimmers name Cheque: Payable to swim2swim Ltd with swimmers’ name on back Re-enrolments are sent by email week 7 of each term if you are not re-enrolling please let us know. Term 4 2025: 13 lessons (£11.46 + VAT) TOTAL £178.75 13 week course: Monday 22nd September – Sunday 21st December 2025 BACS: swim2swim Ltd. Account number 00100758. Sort Code 826315 Ref: swimmers name Cheque: Payable to swim2swim Ltd with swimmers’ name on back Re-enrolments are sent by email week 7 of each term if you are not re-enrolling please let us know. Pool rules for Britannia and Primrose Pools All babies/young children must wear an aqua nappy, if required. Please take nappies home. All children must be supervised inside and outside; please do not allow children to play outside in the car park Please remove shoes and socks prior to entering the changing rooms PLEASE NO EATING OR DRINKING INSIDE THE BUILDING Pool rules for You Fit Pool The club has a parking eye and you must enter your car registration in the machine located on the reception desk every time you visit. Swimmers/children are only permitted to use pool; the Jacuzzi and Sauna are out of bounds. Only one adult in changing room if child needs assistance to change. (children 8years and above must use their own changing room). No buggies in changing rooms, there is an accessible toilet which can be used for changing. All children must be supervised in the club and there is to be no running or shouting. No photographs are permitted inside the club. All babies/young children must wear an aqua nappy. Declaration *By making payment and/or returning this form I confirm I agree to the pool rules.I accept the terms and conditions at https://www.swim2swim.com/terms-and-conditions/I will inform swim2swim of any changes regarding health and/or contact details.I understand Swim2Swim may occasionally take photos during lessons for promotional purposes. I consent to my child’s photos being used for this purpose. (If you do not wish to give consent please leave this box blank)Submit
