Please complete all boxes and select send. Payment must be made via bank transfer or cheque to secure your place. The cost of our 4 week summer school is £36.
Parent/Carer Name:*
Baby Name:
Baby Gender:
Baby DOB:
Contact Address and Postcode:
E-mail address:*
Telephone number:
Mobile Number:*
Please state any medical conditions your teacher should be aware of, for you or your child:
How did you hear about Little Splashers?
Please give details of any previous swimming experience your child has had:
Preferred venue/ day :
I have read and I understand and agree to the terms and conditions:*
I have read and understand the pool information guide:*
From time to time, pictures will be taken in class to be used for promotional purposes and on the web site. Copies will be given to yourself. Please give your permission here:
Payment please select how you would like to pay.
Electronic bank transfer (account no: 74162980, sort code: 72-00-03). State your name and your choice of swimming day. I.e. Jack Wilson Saturday Fees
By cheque. Please make cheques payable to SWIMCAM and post to: The Pool House, 11 Highcroft, Husbands Bosworth, LE17 6LF.
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