Swim2Swim

Swimmers name

Swimmers Date of Birth

Gender

Previous swimming awards

Contact name

Contact Number - Land Line (Optional)

Contact Number - Mobile

Home Address

Email Address

Day

Time

Medical information - Is there anything that the swimming teachers should be aware of in relation to swimming and tuition?

If Yes, please give details

Term

Select Payment Method

BACS

Cheque

Details for BACS payment: Account number 00100758. Sort Code 826315 Ref: swimmers name

Cheques made payable to swim2swim Ltd with swimmers’ name on back

I confirm I have read and agree to all the pool rules and terms and conditions which can be found by clicking the link below

I give permission for Swim2Swim to contact me regarding swimming lessons via email, text or phone

I understand that babies and children who are not toilet trained must wear a snug fitting aqua nappy; nappies must be taken home.

By returning this form I confirm I have read and answered the above, to the best of my ability and agree to inform swim2swim of any changes.

Pool Rules and Terms & Conditions

PRIMROSE POOL ENROLMENT AND MEDICAL HISTORY FORM