Children's Rookie Lifeguard Pool Programme Grant Application Form
Fill out this form to apply for a FREE 10-week swimming course, to continue the course, you'll then need to set up an ongoing direct debit.
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
-
Area Code
Phone Number
Child's Full Name
*
First Name
Last Name
Child's Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Do you and your child live in Pendle?
*
Yes
No
Is your child able to swim at least 800 metres?
*
Yes
No
Please confirm your preferred centre
*
Please Select
West Craven Sports Centre, Barnoldswick
Pendle Leisure Centre, Colne
Please confirm you understand the grant covers 10 weeks. After this, continuation requires setting up a direct debit payment.
*
I understand and agree
Submit Application
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