LAC Academy - Enrolment Form

Enrolment Form
It is important that we hold the correct and up-to-date information for all of our Learners'. Please complete the enrolment form below to register or to up-date your contact information and preferences.

You can change your consent / preference options at anytime by contacting us at info@lacacademy.co.uk. To view our full Data Protection and GDPR policy please click here.
Parent / Guardian's Name*

First NameLast Name
Learner's Name*

First NameLast Name
Gender*

MaleFemaleOther
Address*

Street Address

Street Address Line 2

CityCounty

Post Code
Learner's Date of Birth*

DayMonthYear
E-mail*
Home Number

Area CodePhone Number
Mobile Number*

Photography & Video Permission
We would like to use photographs and videos that may contain the named Learner on this application form in our advertising, marketing, website, social media and for training purposes.
Photography Permission*

Yes, I agreeNo, I disagree

Medical / Disability / Learning Information

This information will only be shared with the Data Processor and the Swimming Teacher working with the Learner
Please give us any information on the Learner with regards to Medical / Disability / Learning information*
If there are 'none' then please state this
Signature*

Clear
Signature*

Your Consent
You are happy to receive marketing / advertising from LAC Academy?*

Yes, I agreeNo, I disagree
You are happy to receive marketing / advertising from Water Creatures?*

Yes, I agreeNo, I disagree
NOTE: Water Creatures is a part of LAC Academy. It is our Learn to Swim Academy teaching Children to swim from 3 months old and is based at Shear Barn Holiday Park in Hastings - www.watercreatures.co.uk
You are happy to receive marketing / advertising from LAC Training?*

Yes, I agreeNo, I disagree
NOTE: LAC Training is a part of LAC Academy. It is our Training side of the business which delivers a selections of different courses from swimming teacher training to first aid - www.lactraining.co.uk

Declaration
Declaration:

Before submitting you application form, please make sure you have read our term and conditions.
Declaration (1)*

I can confirm that I have read the terms and conditions with regards to swimming lessons with LAC Academy.
Declaration (2)*

I can also confirm that the information given in this application is correct and if any of the information changes I will contact LAC Academy at my earliest opportunity.
Signature*
Signature*

Clear
Date*

DayMonthYear
Should be Empty:

Enrolment Form