Only complete once you have called and booked a place with us.

    Swimmers Name

    Swim Day booked:

    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