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Please copy /print from then send to address below. 11 week Swim Classes Booking Form Starting Friday 8th, Saturday 9th, Monday 11th,
Please complete all information in block capitals
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:
.
.
. Post Code:
Tel no:
.. Mob no:
Email:
.. Name of school attending:
Spaces are limited so call now to secure your booking! Call Nicole on 07747606141
Please send payments to: Our Childrens Activities, 28 Harrow Fields Gardens, Harrow on the Hill, Middx, HA1 3SN |
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