Swimming Lessons Application - Elite School Of Swimming

Applicants name *

First

Last

Date of birth *

Email *

Parent/guardian name *

First

Last

Phone Number *

Mobile Number *

Parent/guardian name

First

Last

Phone Number

Mobile Number

Swimming lesson type *

Group lessons
Private lessons
Intensive lessons
Preschool lessons

Swimming lesson preferred day

Does the swimmer have any specific medical conditions requiring medical treatment and/or medication? *

Yes
No

If yes, please give details:

Do you or does your child have any allergies? *

Yes
No

If yes, please give details:

Do you or does your child take any regular medication? *

Yes
No

If yes, please give details:

Any other relevant information:

I understand that, in compliance with the GDPR from May 2018, this information will be kept secure on the password protected company tablet and that it is used only in connection with the purpose and activities of the school. Information will not be kept once a person is no longer a member of the school and will be discarded within 6 weeks of them leaving the school. The information will be disclosed only to Elite School of Swimming staff and for whom it is appropriate. *

.

I being the parent/carer of the above named child hereby give permission for the Teacher or Lifeguard to give the immediately necessary authority on my behalf for any medical or surgical interest, in the doctors’ medical opinion, for any delay to be incurred by seeking my personal consent. *

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