Waiting List
Parent's Full name:
*
First Name
Last Name
Contact Number:
*
Email
*
example@example.com
Child's Full name
*
Childs Date of Birth
*
Childs current age
*
Does your child have any medical conditions or Sen needs
*
Please click the days your available for swimming lessons
Mondays
Anytime
Avoid school pickup/drop off times
Afterschool classes 4pm onwards (your child must be 4yrs and over)
Tuesdays
Anytime
Avoid school pickup/drop off times
Afterschool classes 4pm onwards (your child must be 4years or over)
Wednesdays
Anytime
Avoid school pickup/drop off times
Afterschool classes 4pm onwards (Your child must be 4years or over)
Thursdays
Anytime
Avoid school pickup/drop off times
Afterschool Classes 4pm onwards (Your child must be 4years or over)
Fridays
Anytime
Avoid school pickup/drop off times
Afterschool Classes 4pm onwards (Your child must be 4 years or over)
Please click your childs swim ability
Beginner
Beginner confident
Nervous
happy to go underwater
Doesn't like water in face
can swim 2-3 metres
can swim 4metres or more
Please supply any additional information to help us find the correct class for your child.
Submit
Should be Empty: