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Name of Applicant(s): * |
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Name of Parent/ Guardian: |
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| Address, including Postcode: |
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Daytime telephone: |
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Evening/ weekend telephone: |
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Your email: * |
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| Date of birth(s): |
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Medical information that our teachers should be aware of: |
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Ability/standard of swimming of the participant(s), including current ASA Level if known.
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Have you had any lessons before. If so, where?
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How did you hear about us? |
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Any other information or comments? |
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| I understand and accept the terms and conditions * |
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