Barnet Premier Swim

Child Swimming Lesson Enrolment Form

Please complete all sections to enrol your child in swimming lessons.

After submitting, your completed enrolment form will be emailed to Barnet Premier Swim.

Child's Details

Child's full name Date of birth

Gender

Male Female

Swimming ability Agreed lesson day Agreed Start Date (if applicable) If a start date has not yet been agreed, please write a short note.

Home Address

Address Postcode

Parent/Guardian Details

Parent/guardian full name Parent/guardian telephone number Parent/guardian email

Medical and Additional Information

Details of any disabilities, allergies, illnesses, behavioural difficulties, or special needs which may affect your child's participation in their swimming class. Please write N/A if not applicable.

Photo Permission

Do you give permission for photos to be taken and used for promotional purposes?

Yes, I give permission No, I do not give permission

Date Completed

Date completed

Declaration

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