Only complete once you have called and booked a place with us. Swimmers Name Swim Day booked: MondayTuesdayWednesdayThursdayFridaySaturdaySunday Swimmers Date of Birth Swimmers Medical Conditions Swimmers Disabilities Swimmers Special Needs Parents Name if under 18 ( Main person Bringing child) Parents / Swimmers Mobile Contact Number Parents Medical Conditions (If accompanying in the water) Emergency Contact Number (Must be Different from above) Home Address: Your Email I Agree to the T&C'S & Pool Rules I agree