Register Your Interest Parent Name * First Name Last Name Email * Mobile number * First Line of Address * Postcode * Swimmer Name * First Name Last Name Date of Birth * Gender * Male Female Prefer not to indicate Previous swimming experience/certificates * What type of class/session are you interested in? * Additional Needs Classes Local Community Swim England stage 1-6 Adult Lesson 121 Lesson Lane and General Swim Private Hire Parent & Child Current Educational Provision * Please select one Mainstream SEN specialist school Education Other Than at School Details of any additional needs * Is the swimmer available during school hours * Yes No Maybe Has an EHCP * Yes No Please add any additional information that might help us find the right space for you Please add extra swimmers to register below Thank you for registering you interest, we will be in touch with next steps soon!Aqua Include
