Children's Rookie Rescue Skills Programme Grant Application Form

Children's Rookie Rescue Skills 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 NameLast Name
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number

Area CodePhone Number
Child's Full Name

First NameLast Name
Child's Date of Birth

MonthDayYear
Date
Does the child have disabilities?
As your child doesn't have any SEN needs, this course isn't suitable for your child.

Please refer to this form for the Rookie Lifeguard Course.
If yes, please describe the disabilities
Do you and your child live in Pendle?
Is your child age 6+?
Students should have completed the equivalent of Swim England Level 3, is this the case?
Please confirm you understand the grant covers 10 weeks. After this, continuation requires setting up a direct debit payment.
Should be Empty: