Swimming Lesson Waiting List

Our Swimming Lesson Waiting List
Your Child's Details

Please fill out the following for your child.
First Name*
Last Name*
Preferred Name
Date of Birth*
Gender*

MaleFemalePrefer not to sayOther
Your Child's Medical Details

Please fill out the following for any medical details for your child.
Medical
Data Storage Agreement*

I consent to the storage of my child's medical details.
Your Address

Please fill out the following with your home address.
Street Line 1*
Street Line 2
City*
County*
Postal Code*
Your Contact Details

Please fill out the following with your contact details.
Email Address*
Preferred Contact Number*
Alternative Phone Number
Work Phone Number
Availability and Further Information

Please fill out the following to help us allocate a lesson for your Child.
Please select your preferred day(s).*

MondayTuesdayWednesdayThursdayFridaySaturday - AMSaturday - PMNo preference
We run our lessons Monday to Friday 4pm-7pm and all day Saturdays. Further details of swimming lessons times.
Has your child previously had children's group lessons? This excludes school swimming or any previous parent and toddler lessons.*

YesNo
Please attach evidence of the most recent stage they accomplished.
Cancelof
Marketing

Please help us with gain a larger insight into our marketing. You can also choose your preferred method of contact should you wish to receive further news.
Where did you find out about us?
Preferred method of marketing

EmailSMSPhoneMail
Please note you will be contacted by CoursePro, our software.
Terms and Conditions

Please tick to confirm you have read and accepted our Terms & Conditions.
Consent*

I agree
By ticking above you confirm that you have read and accepted our Terms & Conditions, which include how your data will be processed and used.
*ZEST takes your privacy very seriously and we will only use the information you've submitted to provide the services requested of us. Further details about the personal information we record and how it's used can be found in our Privacy Policy.
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Our Swimming Lesson Waiting List

Your Child's Details

Your Child's Medical Details

Your Address

Your Contact Details

Availability and Further Information

Marketing

Terms and Conditions