Medical and Covid-19 Health Questionnaire
Please only complete this form once you have been offered a space by a member of the Watford Swim School Team and you have read the returning to lessons after Covid_19 guide that can be found here: https://watfordswimschool.com/returning-to-lessons-after-covid-19/

It is important that any person who enters any part of the pool is medically and physically fit and is not a danger to themselves or the health and safety of others. If you are not sure, you should seek medical guidance from NHS 111
Swimmer first name *
Swimmer second name *
Swimmer date of birth *
MM
/
DD
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YYYY
2nd Swimmer first name
Only required if there is a second swimmer within the same household
2nd Swimmer second name
Only required if there is a second swimmer within the same household
2nd Swimmer date of birth
Only required if there is a second swimmer within the same household
MM
/
DD
/
YYYY
Medical Conditions or Disabilities
If none, please state none. If your or your child's circumstances change please ensure that you update us.
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