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Feltham Swimming Club Waiting List
Waiting list for swimming lessons
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* Indicates required question
Email
*
Your email
Phone number
*
Your answer
Parent / Guardian Full Name (first and last)
*
Your answer
Childs Full Name (first and last)
*
Your answer
Childs DOB (child must be 5yrs or older)
*
MM
/
DD
/
YYYY
Gender
*
Female
Male
Prefer not to say
Does your child have any medical conditions that might affect their swimming? i.e.Asthma, Epilepsy, Diabetes, Allergies, Autism Etc.
*
Yes
No
If Yes to Medical Conditions above please give details below. (All information will be treated with the strictest confidence.)
Your answer
Has your child had any previous swimming lessons? If YES to what level?
*
Your answer
A copy of your responses will be emailed to the address you provided.
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