1-2-1 Lesson Enquiry

1-2-1 Lesson Enquiry
Site*
Swimmer's Name*

First NameLast Name
Swimmer's DOB*

DayMonthYear
Date
Parent/Guardian Name (if applicable)

First NameLast Name
Contact Number*
Please enter a valid phone number.
Contact Email*
example@example.com
Ability/stage(if known) of swimmer
Availability(please tick all that apply)*

Monday daytimeMonday 6pm onwardsTuesday daytimeTuesday 6pm onwardsWednesday daytimeWednesday 6pm onwardsThursday daytimeThursday 6pm onwardsFriday daytimeFriday 6pm onwardsSaturdaySunday
Please note, our junior swim school takes place every evening between 3:45-6pm, therefore we cannot run 1-2-1 lessons during these times.

A member of our aquatics team will be in touch when they have availability.
Prices:

30 min 1-2-1 £21.00 / 45 min 1-2-1 £31.50

30 min 2-2-1 £32.00 / 45 min 2-2-1 £48.00
Additional needs, health conditions or disability that we might need to be aware of
Specific teacher requested (if applicable)
Goal to achieve from the 1-2-1 lesson(s)*
Any other information?
Should be Empty: