Register New Swimmer Booking Form Please complete the form for each child or adult who wishes to attend a class. Prices will be pro-rated from the start date if you decide to start part way through the term. Please read our Terms and Conditions before completing a form. Please note that swimming lessons are booked in 13 week blocks on a recurring subscription basis, roughly following Wandsworth Borough term dates. To cancel a recurring subscription, we require no less than four weeks' notice before the end of a block. We regret that we are unable to give refunds or re-book lessons for non-attendance. Step 1 of 2 50% Which would you like to attend?*Babies, Toddlers, Children (under 18)Adult (over 18)Name* MrMrsMissMsDrProf.Rev. Title First Name Last Name Address* Address Line 1 Address Line 2 Address Line 3 Postcode Email* Mobile*Swimming Ability*BeginnerIntermediateAdvancedSwimmer’s details* First Last Swimmer's Date of Birth* Please describe swimming ability and any stages achieved*Medical conditions or disabilitiesPast experiences in the water you’d like us to be aware ofParent or Guardian's Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Title First Name Last Name Address* Address Line 1 Address Line 2 Address Line 3 Postcode Email* Mobile*Promotional codeWhere did you hear about us?Any questions? Anything else you want to tell us?Any questions? Anything else you want to tell us? (E.g. a friend you’d like to swim with) Please tick to confirm you have read and agreed with: Terms and conditions* Terms and Conditions Please note: If you fail to attend a lesson unfortunately we cannot offer a refund or catch-up lesson (unless you are attending a baby lesson - please refer to terms and conditions) Equality Policy Statement* Equality policy statement Code of Ethics (and Conduct)* Codes of Ethics (and Conduct) Child Protection Policy Statement* Child protection policy statement Use of Photography* From time to time we may take photographs of your or your children to celebrate their progress and which could also be used for promotional material for Cindy's Swim School. Please tick here to say you give us permission to do so. If you do not want your child to be photographed we need you to tell the photographer on the day so they can be excluded.