Kingfisher Club Renmore Summer Swim Booking Form

KIDS SWIM CAMP

Monday to Friday 10:00am-10:45am 45 minute lessons of fun and water games!
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
Week of Registration:
Requested Level:
Are there any health/other issues that the swimming teacher should be aware of?
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:

KIDS SWIM CAMP