Kingfisher Club University of Galway Summer Swim Pathway Booking Form

6 Week Children's Summer Swim Term

Welcome to our Summer Swim Term! Designed to keep your children active and continue their skill development throughout the summer months. Beginning July 11th and running for 6 weeks. Our Summer Swim Term differs slightly in level placement and structure. Please note this term is not a part of our regularly scheduled Swim Academy but rather a little add on. We are excited for you to join us for a super fun summer!
Parent/Guardian Name

First NameLast Name
Parent/Guardian Email Address
example@example.com
Parent/Guardian Contact Number
Landline or Mobile Number
Child 1

NameD.O.B.Swimming Level
Child 2

NameD.O.B.Swimming Level
Child 3

NameD.O.B.Swimming Level
Child 4

NameD.O.B.Swimming Level
Are there any health/other issues that the swimming teacher should be aware of?
Preferred Day for Lessons
Preferred Time for Lessons
Parent/Guardian Declaration:

1. I confirm that the above answers are correct, at this point in time, to the best of my knowledge and belief.
2. I will ensure that I inform the club and coach at once if any of the above information changes.
3. I have read the “KINGFISHER CLUB UNIVERSITY OF GALWAY SWIM PATHWAYS ACADEMY INFORMATION BOOKLET & BOOKING POLICY”.
4. I have been made aware that there is a child liaison officer in place.
5. I have been made aware that only children of 4 years plus and minimum height of 1.15m can start swimming lessons at the Kingfisher Club University of Galway
6. I agree that my child will abide by the rules of Kingfisher Club and follow the instructions of staff at all times.
7. I have been made aware that photography is not permitted in the pool and change room areas.
8. By signing this form I confirm that I have read and accept the declaration above, and the terms as laid out in the KINGFISHER CLUB UNIVERSITY OF GALWAY SWIM PATHWAYS ACADEMY INFORMATION BOOKLET & BOOKING POLICY.
Date

DayMonthYear
Date
Hour MinutesAM/PM Option
Signature
Should be Empty:

6 Week Children's Summer Swim Term