Booking Form

Once your child's place at Dolphin Swim School has been confirmed, please complete all sections of this form and return, along with BACS payment, prior to the start of their first lesson. Please ensure that you have read our terms and conditions before completing the form. If you do not yet have a confirmed place at Dolphin Swim School and wish to make an initial enquiry, please complete the Send An Enquiry form instead.

Your form message has been successfully sent.

You have entered the following data:

Please correct your input in the following fields:

Error while sending the form. Please try again later.

Child's Full Name: *

Child's Date of Birth: *

Parent / Guardian's Full Name: *

E-mail address: *

Emergency Contact Number: *

Day of class that has been allocated *

Time of class that has been allocated *

I confirm that I have read and agree to the terms and conditions

Details of any health, medical, or learning difficulties affecting your child: *

Captcha (spam protection code): *

Please tick if you do NOT agree to Dolphin Swim School taking photographs of your child during swimming lessons for the purpose of producing marketing materials

Note: Fields marked with * are required

Please be aware that the contents of this form are not encrypted