Ollie Otter's Swim School
 
   
  APPLICATION FORM.  
  Please tick box next to venue required.  
  CARWARDEN   GORDONS   CRASH COURSE     
   
  FULL NAME……………………………………………………………………………………………         
   
  AGE……………………………………………. D.O.B………………………………………………..  
   
  ADDRESS……………………………………………………………………………………………….  
   
  …………………………………………………..POSTCODE…………………………………………  
   
  TEL NO…………………………………E-MAIL ADDRESS…………………………………………  
   
  EMERGENCY NUMBER………………………………………………………………………………  
   
  NAME OF SCHOOL…………………………………………………………………………………….  
   
  ANY KNOWN MEDICAL CONDITIONS………………………………………………………………  
   
  ANY SPECIAL NEEDS…………………………………………………………………………………  
   
   
  DOES YOUR CHILD HOLD ANY CURRENT SWIMMING CERTIFICATES. PLEASE GIVE  
  DETAILS AND WHERE ATTAINED………………………………………………………………….  
  …………………………………………………………………………………………………………….  
   
  HOW FAR CAN YOUR CHILD SWIM. PLEASE TICK BELOW.    
  Non Swimmer   5m   10m   15m    
  UNDER 25M   OVER 25M   OVER 50M   OVER 100M    
   
  The swim school can only accept responsibility for any person in lessons with a teacher. The safety of others is the responsibility of a parent or guardian. All children must be accompanied by an adult whilst on poolside.  
   
  PARENT OR GUARDIAN SIGNATURE………………………………………………………………  
  DATE:……………………………………………………………………..  
   
  CHEQUES MADE PAYABLE TO OLLIE OTTER'S Ltd. PLEASE SEND FULL PAYMENT TO:
20 Five Oaks Close,St Johns, Woking, Surrey, GU21 8TU. Places are allocated on a first come first served basis and cannot be guaranteed until full payment is received. 
Please note that bookings will be non-refundable and non-transferable (i.e. from one term to another or one person to another) once confirmation has been received by us.  
 
   
  OFFICE USE ONLY    
  TIME OF LESSON……………………………………..(CODE…………….. )