Phoenix - Waiting List Application
Swimmers Name:
Date of Birth
MM
/
DD
/
YYYY
Brief description of the swimmer's disability:
Can you tell us about the things they may need additional support with, please include any physical, cognitive or communication needs.
Please tell us a little about any previous swimming experiences, e.g. lessons /clubs attended and what level and distances were achieved. What strokes are they are able to swim?
Please supply a little information about the swimmers learning style . Are they able to follow a training set for a minimum of 45 minutes ? What is the most effective communication method (s) to ensure they get the best out of the session.
Please can you tell us about the swimmer's aspirations at Phoenix.
Parent or Guardians Name (s)
Contact email address
Contact Telephone number
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