Baby Swimming Registration

Please complete this registration form in full. Your form will then be emailed to our office and we will be in contact to take payment and confirm dates for your baby's swimming classes.

Please can you ensure that you adhere to the pool rules, as we are guests of the centre. Please take all nappies home with you, including swim nappies please do NOT use bins. No food is to be taken in the change rooms please give snacks in the car.

Please read these Terms and Conditions before completing the form below.

Baby's Name *
Baby's Name
Baby's date of birth *
Baby's date of birth
Enter DAY, MONTH, YEAR of birth
Baby's sex *
Main contact *
Mother's Name
Mother's Name
Father's Name
Father's Name
Was your baby caesarean birth? *
Was your baby premature? *
Does the person attending the class with the child, suffer from any of the following health conditions?
Do we have your permission to use photographs of you & your baby on our website and or in printed promotional material? *
I would like to receive information about classes by email *
I agree to inform the teacher of any changes or additions to the above information at the beginning of the class. *
I understand that I will be responsible for my child at all times. *
Terms and conditions *
As far as I am aware, I have disclosed to my infant aquatics teacher, all information regarding my health and my child’s health relevant to the practice of infant aquatics. I take full responsibility for all applications of infant aquatics I may practise outside the classes now and in the future. Details on this form are entirely confidential and are for personal records only.
Today's date *
Today's date
Enter DAY, MONTH, YEAR as today's date
Enter the name of the parent that referred you or how you found out about us.
If you have any additional messages, please enter here.