Confirmation form

Full Name*

DOB*

Childs name

Your email*

Phone*

Please select which service you require

Home Swimming Visit

Private Coaching - The Venue

5 day Crash Course - CLSG

Private Teaching - Arkley, Barnet

Lesson outcome*

Known medical conditions *

GDPR Agreement*

I consent to having this website store my submitted information so they can respond to my inquiry. We do not share your information with any third parties. Your details are for emergency situations only.

Terms & Conditions*

I confirm that once I sign this form, I agree to pay for the scheduled swimming lesson before it commences. I have read the terms & conditions. I am aware of the 48 hour cancellation policy, if I cancel within 48 hours I am liable to pay full price. I am responsible for my own journey and any possible transport disruptions. I have read and agree to the t&c.