Swimming Lessons | The Swim Vault

New Swimmers Registration Form

Gender

Full Name

Date of Birth

Age

Medical Conditions / Special Needs / Allergies

Location

Programme

Stage

Parent / Guardian / Carer Full Name

Relationship to Swimmer

Contact Number

Address

Town / City

Postcode

Emergency Contact Full Name

Emergency Contact Number

Terms & Conditions

I hereby declare that all details provided within this registration form is complete, true, accurate & correct.

I agree to keep The Swim Vault informed of any changes & updates to any details.

I apply to be/for my child to be considered for a course of swimming lessons subject to the approval by The Swim Vault.

I have read, understood & agree to comply with the terms & conditions of this agreement.

Swimmer Photography & Videography Publishing Consent (The Swim Vault website, social media posts, marketing materials)

Auto-enrolment

Print Full Name

Date