Please complete all boxes and select send. Payment must be made via bank transfer or cheque to secure your place.
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: 37757483, sort code: 72-00-06). State your name and your choice of swimming day. I.e. Jack Wilson Saturday Fees
By cheque. Please make cheques payable to Little Splashers and post to: The Pool House, 11 Highcroft, Husbands Bosworth, LE17 6LF.
At Little Splashers we follow the STA Starfish and Stanley Award Scheme for babies and young children. A certificate and cloth badge can be purchased at £2.50 and will be given out at the end of the course if you complete the majority of classes and have gained the relevant award experience, if not this fee will be carried over to the following term. This award scheme is optional.
If you wish to receive the award please tick here and add £2.50 to your payment.
Yes I would like the award and have added £2.50 to my fee.
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