ONLINE LESSON BOOKING FORM

NAME


AGE if U18


ACTIVITY

1
2
3
4

DATES

HOME ADDRESS


HOME TEL

HOLIDAY ADDRESS


HOLIDAY TEL


EMERGENCY CONTACT NO’


EMAIL ADDRESS


Are there any medical conditions we should be aware of? e.g. allergies, asthma, epilepsy, heart condition etc… if so please give details:

I confirm that the person booked on the course is in a fit condition to take part in the course and is able to swim 25m. If the person is under 18 years old I agree to them receiving medical aid in the event of an accident.

Signature:

Cost of course:


For advance booking please send a deposit of 10%

The balance of payment is due at the start of the course.

You need to bring a towel, change of clothes and shoes that can get wet!

We supply all other equipment, but if you would prefer to buy your own we offer a 10% discount on all our GUL equipment. Three days notice is usually enough except in peak season.


PREVIOUS EXPERIENCE

Please could you give us some information about this or any qualifications gained so we can tailor the course to suit you.

We look forward to seeing you, Cheers Bob