Certificate in Teaching Aquaphobics (CTA) Enrollment form and payment instructions
Enrollment form and payment instructions - CTA CPD 1 "Aquaphobia Coach" &/or CTA CPD 2 "Advanced Aquaphobia Coach" - Each CPD has 5 CIMSPA points and 1 STA point - please complete this form
Sign in to Google to save your progress. Learn more
STA promo code or membership number
Captionless Image
Choose which CTA product you would like to buy.                Please note the course books are included in the digital content and also supplied as PDF's. *
Captionless Image
Required
CTA CPD 2 Dates 2022 - If you are purchasing our bundle offer or just CPD 2, you can choose one of the dates below to attend the live course (Subject to availability) ON ZOOM                                                                        
Captionless Image
So that we send the right version for your computer kit , please tick one of the boxes below.
Your name *
Your email address *
Your address *
Your mobile number *
Your Swimming Teachers Certificate number *
Specialist Learning Requirements (please tick the relevant option/s) *
Required
STA - CTA Course Prerequisites - All learners must meet the following criteria before starting the course (please tick each box if you met the criteria shown or leave blank if you do not) *
Required
Where did you hear about the CTA Course?
CTA payment details *
Captionless Image
Required
Please pay to the following account/s
CPD Payment details are:

UK Academy of Swimming Ltd
Sort code:    20 29 77
Account:      00168246


Please complete the whole form. Entry may be politely refused if the prerequisites are not met. If you have any questions please email info@waterphobia.com
Declaration - I declare that all of the information I have provided on this enrollment form is true and accurate and that I meet the course prerequisites. PRINT YOUR NAME and or add your signature. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of UK AoS. Report Abuse