Register your interest in swimming lesson
Register your interest in our swim lesson programme today.
Please note that you must be 16+ to complete this form.
Parent / Guardian First Name
Parent /Guardian Surname
Preferred contact number
Child's full name
Child's date of birth
Which is your preferred leisure centre for swimming lessons?
The Pavilions In The Park
Billingshurst Leisure Centre
Steyning Leisure Centre
Please select a class level
Adult & Baby (4months - 18 months)
Adult & Toddler (18months - 3 years)
Duckling Pre-School (3 years - school age)
Stage 1 Beginner (4 years + & at school)
Stage 2 or 3 (4 years + & at school)
Stage 4-7 (4+ years & at school)
Adult Advance (Technique Improving)
Has the swimmer had lessons before?
Have any badges / certificates been awarded?
Places for People Leisure Ltd and its subsidiary and associated companies hold your data in accordance with the Data Protection Act.
Tick here to opt in on marketing related to the leisure centre selected above.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service