Childrens Booking Form

Grace Dieu Manor Park, LE67 5UG 07799 877092 Gemma@ripplesswimschool.co.uk

Childrens Booking Form

If you are interested in joining one of our childrens courses, please fill in the form below and we will get back to you with the lesson/s available that are best suited to your child.

Email address *

Parent/Guardian Name *

Childs Name *

Childs Date of Birth *

Phone Number *

Other information: Please provide us with details of all medical conditions, special or additional needs for you and/or child or any additional information you would like us to be aware of.

I understand and agree to our terms & conditions *

Yes

Prove you're human *

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