Parent or Guardian Information

Parent or Guardian First Name *

Parent or Guardian Last Name *

Email *

Address

Postal code *

Phone *

Lesson Information

Please select your preferred location *

What type of programme are you looking for? *

What type of lesson are you looking for? *

Term Package (1:1) or (2:1): lessons are booked in advance for the whole term with a fixed day and time. 1:1 Lessons = (1 instructor / 1 swimmer). 2:1 Lessons = (1 instructor / 2 swimmers). One-off (1:1) or (2:1) Lessons: a single lesson booked with a fixed day and time.

What lesson length are you looking for? *

Tell us your preferred day of the week and time *

Swimmer Information

Swimmers First Name *

Swimmer Last Name *

Swimmer Date of Birth *

Does the swimmer have any special and/or additional needs? *

What is the swimmers relationship with water? *

Do you have more than one swimmer? *

Yes

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