First Name & Age of child *

Can your child swim without buoyancy aids? If so, can they swim on their front and back and how far (in metres)? Do they know any particular strokes and how far can they swim on each? *

If not, can they move themselves around independently with aids, are they happy to put their face in, jump in or go under water? Have they had lessons before? *

If your child cannot swim without adult help, is he s/he nervous of the water or putting his/her face in? *

Does s/he have any previous badges? What are they?

Is your child safe out of his/her depth (can they tread water competently)? *

Does your child have any particular learning needs? Eg. Does s/he struggle to follow instruction at school, face any communication or social difficulties, or have any past triggers/difficult experiences in the pool or in other settings. We try, where possible, to tailor our teaching to individual needs.

When are you interested in lessons?

Is there any anything else you would like to tell us?

Please give us your email address so we can get in touch. Confidentiality is important to us. We will not share your details with any other party. *

If you wish to be contacted by phone, please give us your number. We will not share these details either.