Ollie Otter's Swim School  
  APPLICATION FORM.  
Please tick box next to lesson type required.  
HOLIDAY COURSE   TERMLY LESSONS   PRIVATE LESSONS    
   
FULL NAME:...........................................................................................         
   
AGE:........ D.O.B:.......................... TEL NO:...........................................  
   
E-MAIL ADDRESS:...................................................................................  
   
ADDRESS:.............................................................................................  
..........................................................................................................  
   
EMERGENCY NUMBER:.............................................................................  
   
NAME OF SCHOOL:.................................................................................  
   
ANY KNOWN MEDICAL CONDITIONS:..........................................................  
   
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    
   
By signing this form you confirm you have read and agree to all the term on our website regarding booking terms and conditions.  
PARENT OR GUARDIAN SIGNATURE:............................................................................  
DATE:...................................  
CHEQUES MADE PAYABLE TO OLLIE OTTER'S SWIM SCHOOL. 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. 
   
Photography of your child will only be allowed on the last day of each term or with the agreement of the management team. By signing this form you confirm these photo's are for personal use only and will not be published.