Register - Cindy's Swim School

Which would you like to attend?*
- Babies
- Toddlers
- Children (under 18)
- Adults (over 18)
Email*
Where did you hear about us?
Promotional code (or referral name)

Swimmer's details:
Swimmer's name*
First name Last name
Swimmer's date of birth*
DD slash MM slash YYYY
Swimming ability*
- Beginner
- Intermediate
- Advanced
Any past experience of water you would like to tell us about?
Medical conditions or disabilities
Parent / guardian name (if under 18) and / or contact in an emergency:
Name*
First Name Last Name
Address*
Street Address Postcode
Telephone*
Anything else you would like to tell us (e.g. friend you would like to swim with)?

How everything works:
Please tick each box below to confirm you have read and agreed with the following:
T&Cs Consent*
- Terms and conditions
Privacy Consent*
- Privacy policy
Code of Ethics Consent*
- Codes of ethics (and conduct)
Child Protection Consent*
- Child protection policy
Equality Consent*
- Equality policy statement
Use of Photography*
- From time to time we make take photographs at classes including of your children to celebrate their progress. We may also from time to time use these in marketing Cindy’s Swim School. Please tick here to give your permission for this. If you do not want your child to be photographed by us that is of course absolutely fine. To manage this we need you to tell whoever is teaching the pupil on the day to ensure they are excluded from all photographs.

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