Sea Swimming Lesson Enquiry Form
For 121, 221, 321 lessons (£30 per 30 mins) or Junior Group Lessons (£10 per hour)
Name of participant
First Name
Last Name
DOB of participant
-
Month
-
Day
Year
Date
For Juniors - parent/guardian name:
Email:
example@example.com
Contact Number:
Lesson Enquiry Type
121 Lesson (Mon/Wed/Fri Evenings)
221 Lesson (Mon/Wed/Fri Evenings)
321 Lesson (Mon/Wed/Fri Evenings)
Junior only Group Lesson (Friday Mornings)
Available times (select all that apply)
Monday evening 6-8pm
Wednesday evening 6-8pm
Friday evening 6-8pm
Friday morning 9:15-12:15 (Juniors only)
Preferred first lesson date
Are you looking for a one-off lesson or regular lessons (e.g. weekly)
One-off
Regular
Please detail the swimmer's current swimming experience and ability level below
What is your goal for the lesson(s)
Preferred contact method
Email
Phone
Submit
Should be Empty: