Child's Name

Date of Birth

Home Address

Name Of Parent/Guardian 1

Home Address (parent/guardian 1)

Email Address (parent/guardian 1)

Contact Number (parent/guardian 1)

Name of Parent/Guardian 2

Home Address (parent/guardian 2)

Contact Number (parent/guardian 2)

Email Address (parent/guardian 2)

Does your child have any allergies, health problems, dietary requirements or learning difficulties?

Please specify and please keep WetWetWet Swim School updated of any changes

If your child suffers from asthma please ensure he/she carries and inhaler.

Medical Treatment Consent Medical Treatment Consent I hereby consent to my child receiving medical treatment if WetWetWet staff or a doctor thinks it is required as a matter of emergency and I cannot be contacted following reasonable attempts to do so prior to such treatment being administered.

Signed (please print name)

Date (DD/MM/YYYY)

Previous lessons details

Indication of child's level of swimming (I.E levels of certificates of achievement previously gained at other swim clubs)

Additional information

How did you hear about us?

Terms and Conditions (please tick to confirm you have read and agree) Terms and Conditions (please tick to confirm you have read and agree) Fees are payable on confirmation of booking and before lessons commence (office will confirm your fee) Fees payable by debit bacs (see info below) or cheque payable to WetWetWet Swim School – please ensure your child’s name is on the reverse of the cheque and sent with this booking form If WetWetWet is not in receipt of your cleared payment 2 weeks before the start of Swim School term, your child’s place cannot be guaranteed Should you wish to cancel your child’s swim lessons you will lose 2 lessons fee from the date that you cancelled. Lesson cancellation is usually advised via text to a mobile, please kindly ensure you provide a valid number! Please make sure you have read our up to date terms & conditions on our website.

Signed (Please print full name)

Date (DD/MM/YYYY)

Print Full Name Of Child

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