Summer Term 2021 Enrolment Form

Surname* First Name* Date of Birth* Address* Post Code* Email Address* Telephone Number* Mobile Phone Number Please state any medical conditions, special educational needs or allergies that you feel we should be aware of:

Please give details of the swimming course you wish to apply for:

Day - select one of the following Swimming Stage Time Please indicate which changing room you require (This choice can not be changed during the term)*

Emergency Contact Details

Name of Contact* Telephone Number*

Click Here for the Terms and Conditions.

*By ticking this box you agree to our Terms and Conditions.

Click Here for the Details of the Swim Scheme Covid19 guidance.

*By ticking this box you agree to follow current Covid19 guidance.