Registration

Registration Form

Gender

Forename

Surname

Date Of Birth

Age

Medical Conditions / Medications / Special Needs / Allergies

Parent / Guardian / Carer Full Name

Relationship To Swimmer

Contact Number

Address

Town / City

Postcode

Location

Programme

Stage

Emergency Contact Full Name

Emergency Contact Number

Terms And Conditions

I hereby declare that all information provided within this registration form is complete, true, accurate and correct.

I apply to be/for my child to be considered for a course of swimming lessons subject to the approval by The Swim Vault.

I have read, understood and agree to comply with the terms & conditions of this agreement.

I am happy to be contacted by The Swim Vault.

Print Full Name

Date

Upon submission please check your inbox, spam or junk folder.

Company No. 15144861, Registered in England 2023, All rights reserved By The Swim Vault (All photos/images on this website are solely for the intended use of display purposes) Copyright The Swim Vault 2023