Note:
Some of our classes are very popular and we hold a waiting list. The following classes will require a swimming test prior to acceptance:

Advanced Aquatics
Bronze Medallion
National Pool Lifeguard Qualification

Please complete all the mandatory fields marked with an *
*Title		*First Name
		*Surname
*Address
*Town
*County
*Postcode(no spaces)
*Telephone			(no spaces)
*Mobile			(no spaces)
*Email
*Date of Birth			01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 01 02 03 04 05 06 07 08 09 10 11 12 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950
Medical Conditions/Disabilities
Type of Class			Please select Non-swimmer(unable to swim) Beginner Swimmer (swim 5m+) Improver Swimmer (swim 10m+) Good Swimmer (swim 25m+) Advanced Aquatics Swimmer (NPTS stage 7/swim test) Bronze Medallion (swim test required) National Pool Lifeguard Qualification (swim test required) Adult Non-Swimmer Adult Improver Swimmer
Where did you hear about us			Please select Family Friend School Internet Search Other
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