Payment will only secure the place once booked.

Name*
First Last
DOB*
DD slash MM slash YYYY
What Days/times are you enquiring about?*
Extra needs
MEDICATION REQUIRED DURING SWIMMING? ETC
About you*
What level are you? What is your experience of swimming? What stroke do you prefer swimming? What do you want to learn and get out of swimming? What are you scared of?
Phone*
Emergency telephone number*
Relationship to you*
Address*
Street Address Address Line 2 City County Post Code
Email*
This form is still recognised to have been signed and acknowledged even if the signature has been electronically completed. By signing and acknowledging this form you are accepting the terms and conditions set by The Swimming Academy. There is a link in the footer Please ensure you read these conditions before signing this form
T&Cs*
I have read and accept the terms and conditions
Where did you hear about us?*
CAPTCHA

OFFICE

VENUE