Swimming Lessons Sign Up Learn & Enjoy A New Skill For Life Swim Lessons Sign Up Form Please enable JavaScript in your browser to complete this form.Email *Name *FirstLastPhone *Participants Name *FirstLastAddress *Date of Birth dd/mm/yyyyGenderMaleFemaleDescribe the participants experience with SwimmingComplete beginnerSome lessons before, comfortable in the water, but can't swimConfident in the water, but need help with stroke improvementPlease specify what class you are interested in;6 weeks to 3 years (Parent & Me Swim)3-5 years (Preschool Swim)5-16 years (Kids Swim)16 years and up (Adult Swim)Emergency Contact Name *RelationshipEmergency Telephone Number *Medical Conditions / Allergies / Learning Difficulties - Please list any conditions you / or your child including skin allergies, diabetes or epilepsy.Requested lesson time and start date (depending on availability)Please add any extra comments here;How did you hear about Jennuine Fitness?Google searchFacebookThrough a friendIn the unlikely event of an emergency, I authorise Jennuine Fitness staff to administer first aid to the swimmer named above and take him / her to a physician or hospital for further treatment. I agree not to hold Jennuine Fitness liable if my child is injured whilst participating in swim activities. *Yes, of courseNo thank youI acknowledge that I have read, and do hereby accept the terms and conditions contained on the Jennuine Fitness Website - https://jennuinefitness.com/swimming-lessons-terms-and-conditions/ *Yes, I accept the terms and conditionsBy signing up with Jennuine Fitness activities, I acknowledge that I will receive an email from time to time to keep me in the loop about products and services *Yes, I acknowledge, thanks!Submit
