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I am interested in the Evans Swim School Easter Intensives.
Please provide the following information for us to add you to the priority booking window. Please fill out this form for each swimmer.
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Parent / Guardian Name
*
Your answer
Parent/ Guardian Surname
*
Your answer
Email Address
*
Your answer
Emergency Contact Number
*
Your answer
Swimmer's Name
*
Your answer
Swimmer's Surname
*
Your answer
Swimmer's Date of Birth
*
MM
/
DD
/
YYYY
Any relevant medical information
Your answer
I would like lessons for....
*
Beginner swimmer
5-10 meter swimmer
25 meter swimmer
Specialist Swim Skill Lessons
Parent and baby
Swim Team (Pre Club and Club Swimmers)
Other:
I would like to book lessons for
*
Week 1 Monday 30th March - Thursday 2nd April
Week 2 Tuesday 7th April - Friday 10th April
Required
I have more than 1 swimmer to register
*
If we can see sibling bookings we will do our best to swim them at the same time. Please fill out 1 form per swimmer.
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