Fareham Swim School
Waiting list
Childs First Name
Childs DOB
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Parents Name
Phone Number
*
-
Code
Phone Number
Childs Ability (Please ONLY pick one)
0-6 Month Baby
6-12 Month Baby
12-18 Month Baby
18-24 Month Baby
2-3 Year Toddler (Parent in pool)
Preschool Class 3-4 Year (Teacher Lead)
Nervous beginner 4 Years + (Scared To Put Face In)
Beginner 4 years +(Non Swimmer But Happy)
Beginner Plus 4 years + (Can swim unaided)
Intermediate (Can Swim 10m + and breath on side)
Advanced (Can swim all 4 strokes)
Pre Club (Can swim all 4 Strokes To A Good Standard)
1:1 Private (please note we are very oversubscribed for this option)
Days You Can Do
MON
TUE
WED
THU
FRI
SAT
SUN
Has you child got any medical issues or needs that we need to know about?
Submit
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