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Search for:
HOME
SERVICES
OPEN WATER COACHING
POOL COACHING
SWIM EVENTS
CALENDAR
BOOK ONLINE
NEW
SHOP
ABOUT ME
BLOG
NEWS
FORMS
CONTACT/FAQ
CONTACT ME
FAQ’s
HOME
SERVICES
OPEN WATER COACHING
POOL COACHING
SWIM EVENTS
CALENDAR
BOOK ONLINE
NEW
SHOP
ABOUT ME
BLOG
NEWS
FORMS
CONTACT/FAQ
CONTACT ME
FAQ’s
Junior Pool Swimmer
PRE COURSE FORM
Junior Pool Swimmer – Pre Course Form
Sheriden Booth
2021-05-05T17:24:19+00:00
JUNIOR SWIMMER PRE COURSE FORM
Parent/Carer email address
*
Child's Name
*
Child's Date of Birth
*
Parent's Mob No.
*
Swimming ability in the pool (25m is one length of a standard pool)
My child cannot swim
My child can swim 25m at a push
My child can swim 25m frontcrawl easily
My child can swim 50m frontcrawl
My child can swim 100m frontcrawl
My child can swim 200m frontcrawl
My child can swim 400m frontcrawl
My child can swim 1000m + frontcrawl
Has your child had lessons at another swim school? Please state where and to what level they were, if known.
*
Feelings
My child is fearful of water
My child does not like to put their face in the water and blow bubbles
My child is happy in the water
My child loves the water
My child is a FISH!
Aspirations
I would like them to learn valuable water safety skills
They/I would like (them) to be a confident swimmer
They/I would like (them) to become a strong swimmer
They/I would like (them) to participate in swimming events and races
My child has pre-existing health problems or injuries that may affect my ability to participate safely and successfully in open water swimming, please detail.
Does your child have any allergies or is taking any medication that may be relevant to this activity?
Would you like to be contacted about OPEN WATER SWIMMING LESSONS
Yes
No
EMERGENCY MEDICAL RELEASE: Should a medical emergency arise during my child’s participation in swimming, I understand that reasonable effort will be made to contact me. If I cannot be reached, or if it is believed that my child’s life or health may be adversely affected by the delay that an attempt to contact me would cause, I consent to the administration of medical treatment and/or surgical procedures deemed necessary by the medical doctor and/or medical facility, and I consent to the immediate administration of life sustaining measures deemed necessary under the circumstances.
*
I agree
By ticking below, I am certifying that all information provided is correct and that I agree to the terms stated above and overleaf. I confirm that I understand the dangers associated with swimming, including the potential for personal injury, death and loss or damage of property, and agree for my child to swim at their own risk and waive liability and all rights of action against Fish 2 Water, Dee Harmer and volunteers in any such event arising whilst, or consequent to swimming. Nor will the aforementioned parties be liable for any actions of any spectators or other third parties.
I agree
Submit
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