Crash Course Swimming Registration If you are a human and are seeing this field, please leave it blank. Fields marked with a * are required. Crash Course Selection * Handcross - Summer Handcross - Easter Parent's First Name * Parent's Last Name * Pupil's First Name * Pupil's Last Name * Email * Telephone Number * Mobile Number (please supply for emergencies) Address 1 * Address 2 * Town / City * County * Post Code * Pupil's Date of Birth * Age * Swimming Aids * Can the pupil swim without buoyancy aids? Badges and Certificates * Do they hold any swimming badges or certificates Swimming Ability * Doctors Name * Doctors Contact Details * Medical Conditions * How did you hear about us? * Facebook Advert Recommended Internet Search Flyers/leaflets Pool Rules * Please ensure you have read the pool rules that may apply. Photography Consent YES NO Photography is taken by a professional for our own marketing purposes. If you do not want your child's photo used in any marketing material then please choose No from the dropdown. Read the photography consent terms. Terms and Conditions * Please tick that you have read and agree to the terms and conditions and have also read the pool rules that may apply. Please read and Download the Disclaimer form. Signature * Fees are due at the beginning of each course to secure your place and not refundable if you do not attend the lessons. If you have any other questions please do not hesitate to contact me on 07789552148, 01403 892542 or via the website. What is 5 plus 2? *
