Child 1-1 and 2-1 Swimming Lessons Booking Form

Child 1-1 & 2-1 Lesson (Waiting List) Booking Form

5% Discount off your first course fee, if you book online!

Fields marked with ( ! ) are required.

Applicant 1

Name ( ! )

D.O.B (dd/mm/yyyy) ( ! )

Gender ( ! )

If having 2-1 Lessons, please fill out applicant 2. Otherwise continue to 'Preferred Lesson Times'

Applicant 2

Name

D.O.B (dd/mm/yyyy)

Gender

Guardian Details

Preferred Lesson Time ( ! )

Guardian's Name ( ! )

Street Address ( ! )

Town/City ( ! )

County

Post Code ( ! )

Phone ( ! )

Email ( ! )

Additional Info (e.g. Medical Requirements & Swimming Ability)

I wish to have my child assessed

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We accept payment by two methods:

Payment by Debit card is free & Credit Cards will incur a transaction charge of 5%, minimum spend for debit card is £5.0.

We accept cheques only upon re-enrolling into swim school.

On enrolment to swim school, there will unfortunately be no refund in course fees, if you no longer wish your child to participate in swimming lessons.

However if your child can’t participate due to medical reasons a letter from your doctor must be submitted to Aqua Splash Swim School, before lessons are credited from the following terms course fees.

A fee of 3 lessons from group lessons & a fee of 1 lesson from 1-1 & 2-1 lessons will be deducted from total credited to cover administration costs.

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