AQUANAUTS LIVINGSTON

SWIMMING LESSONS ENROLMENT FORM

Swimmer’s Details

Swimmer’s Name
Address
Postcode / Age
Date of Birth / M/F
Parent/Guardian Name(s)
Relationship to Swimmer
Address (if different from above)
Contact Telephone / Mobile
Email Address

Medical Details

Please note any medical conditions

Venue and Lesson Details(please select)

West Calder
Mondays / Inveralmond
Thursdays
Current Swimming Level
Class Start Time / Class Duration
(30 or 60 minutes)

Parental consent

I fully consent for my child to participate in the above activities. I can be contacted on the above telephone number in the event of an emergency. I have also read and agreed with the conditions of booking.
Signed / Print Name / Date

Photography permission

I give permission for Aquanauts Livingston to take photographs of my child, I understand these photos may be used on the Aquanauts Website and Facebook page.
Signed / Print Name / Date

AQUANAUTS LIVINGSTON

SWIMMING LESSONS

Conditions of Booking

  • All classes MUST BE booked in advance. If the enrolment form and full payment are not returned prior to the start of the block of lessons, the place will be reallocated.
  • Enrolment forms are accepted on a first come, first served basis upon receipt of a completed form and fee.
  • Refunds will only be given where the organiser cancels a class.
  • If the parental consent section on your booking form has not been completed sufficiently for photography permission, then we will automatically assume that you DO NOT wish photographs to be taken.
  • Every effort will be made to keep class times consistent, although it may be appropriate for participants to be moved into another class better suited to their ability.
  • If a participant displays disruptive behaviour then that participant may be excluded from the class and subsequent classes – NO REFUND WILL BE GIVEN.
  • A parent/guardian must remain with the participant until the teacher arrives and should collect the participant promptly at the end ofeach session.
  • Swimmers will be provided with an Aquanauts swimming cap. Caps should be worn during lessons and lost or damaged caps should be replaced. These can be purchased from the lessons coordinator at the cost of £4 each
  • Participants should not wear jewellery to any class due to health and safety and no responsibility will be taken for jewellery lost or stolen

Payment Details

Bank / Aquanauts of Livingston ASC
Royal Bank of Scotland
68 Main Street
Broxburn
EH52 5EG
Sort Code / 83-16-21
Account Number / 00723517
Cheques made payable to / Aquanauts of Livingston ASC

Aquanauts Contact Details

Email Address /
Facebook / Aquanauts of Livingston
Twitter / @Aquanauts1
Web Site /

Swimmers Class Details (To be completed by Aquanauts)

Swimmer
Class Venue / Level
Class Start Time / Class Duration
Fee / No of Weeks in Block
Session Dates