Enquiry Form

1
Parent / Caregiver Name* This field is required.
First Name
Last Name
2
Name of Swimmer* This field is required.If numerous swimmers, please state in "Other Information" below
First Name
Last Name
3
Email* This field is required.We need this to be in communication with you!
example@example.com
4
Phone Number* This field is required.Please provide the best phone number for WhatsApp communication
Please enter a valid phone number.
5
Age of Swimmer
Baby (3 months - 9 months)
Baby (9 months - 18 months)
Toddler (18 months - 2 years)
Toddler (2 - 3 years)
Beginner Child (3 - 4 years)
Swimming Child (5+ years )
Beginner Adult
6
Age of Swimmer* This field is required.
Baby (3 months - 9 months)
Baby (9 months - 18 months)
Toddler (18 months - 2 years)
Toddler (2 - 3 years)
Beginner Child (3 - 5 years)
Competent Child (5+ years )
Beginner Adult
7
Birth Date* This field is required.This allows us to determine your child's precise age for lesson grouping.
Date
Day
Month
Year
8
Ability* This field is required.Please pick the relevant abilities of the swimmer (without a puddle jumper/floatation device)
Completely new to the water
Nervous of the water (doesn't like to be in/under the water)
Happy in the water (Likes the water, can be submerged)
Uses a swim floaty only
Has had a previous drowning / falling-in incident
Wants to swim but can't (Happy to swim away from you/tried to swim alone)
Needs water safety knowledge
Competent in the water (can swim & breathe safely across a pool)
Needs stroke development (4 years +)
Adult - Beginner / Nervous
Adult - Comfortable but need stroke development
9
Other InformationPlease provide any other information you would like us to know, or to enquire about. Swimming experience, learning diability, lesson requirements / expectations, detailed house locations, enquiries, allergies etc
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Large
Normal
Small
Ok
Ok
10
Lesson Type* This field is required.
Private (1 swimmer)
Semi Private (2 swimmers)
Small Group (3 swimmers)
Group Lesson (4 swimmers)
Adult Beginner Group Lesson
Any
11
Do you have access to a pool?* This field is required.Please state location on the next slide.
YESNO
12
Lesson LocationPool location, or lesson location preference
West Bay
Seven Mile Beach
George Town
South Sound
Prospect
Savannah
Bodden Town
North Side
East End
13
Lesson Location* This field is required.To assist with scheduling, please provide the exact complex or road location. This information will help us coordinate effectively.
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Large
Normal
Small
Ok
Ok
14
Ideal Day / Time* This field is required.Please select a range of days and times that work for you. This is not a confirmation; it simply helps us understand your availability.
Tuesday Morning (7am - 11am)
Tuesday Midday (12 - 2:45pm)
Tuesday Afternoon (2:45pm - 7pm)
Wednesday Morning (7am - 11am)
Wednesday Midday (12pm - 2:45pm)
Wednesday Afternoon (2:45pm - 7pm)
Thursday Morning (7am - 11am)
Thursday Midday (12pm - 2:45pm)
Thursday Afternoon (2:45pm - 7pm)
Friday Morning (7am - 11am)
Friday Midday (12pm - 2:45pm)
Friday Afternoon (2:45pm - 7pm)
Saturday Morning (7am - 10am)
Saturday Midday (10am - 2pm)
Saturday Afternoon (2pm - 4pm)
Any & All
Other
Should be Empty: