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Please copy /print from then send to address below. 11 week Swim Classes
Child Details
Name of Child (1): ........................... Date of Birth: Medical/Special needs: ...... Level of Swimming: 1st Choice of day: ... .1st Choice of time: 2nd Choice of time: ........ 2nd Choice of day: ... 1st Choice of time: ...2nd Choice of time: ........ Name of Child (2)
.. Date of Birth: Medical/Special needs: Level of Swimming: ........... 1st Choice of day: ... .1st Choice of time: ....2nd Choice of time .... 2nd Choice of day: ... ....1st Choice of time: ....2nd Choice of time: ... Name of Child (3): ......... Date of Birth: ...Medical/Special needs: Level of Swimming: ....... 1st Choice of day: ... 1st Choice of time: ...2nd Choice of time: ..... 2nd Choice of day:
...
1st Choice of time:
..2nd Choice of time:
.... Person to Contact: Name of Parent/Guardian Title: ..Name: ..... Address:
...
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.......................................................................................................... Post Code: .....................Tel no: ..................... ...... Mob no: Email:... . Name of school attending: Call Nicole on 07747606141
Please send forms to: Our Childrens Activities, 28 Harrow Fields Gardens, Harrow on the Hill, Middx, HA1 3SN |
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