Registration Form

Please fill out the following form
in order to participate in our activity.

Parent's Full Name

Swimmer's Full Name

Email

Phone Number

Emergency Contact Details

Select your Address

Swimmer's Gender *

Male

Female

Other

Prefer Not to Disclose

Preferred Lesson Time

12:30

13:00

13:30

14:00

14:30

Swimmer's Date of Birth

Swimmer's Medical Conditions

Swimmer's Experience

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Paige's Swim School

Ascot Pool:

St George's School

Ascot

@Home Lessons within 10mi radius of Woking

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