Child Registration Form Instructions

Parent/Guardian MUST complete Registration forms BEFORE child participates in any of the SwimWell Classes.

Your Address



Your Child's Date of Birth

Venues



Health Club membership number (if applicable)

Confidential Medical Section:

Does your child suffer from any medical condition or difficulties that you think we should be aware of, e.g. asthma, hearing problems, learning difficulties etc?

YesNo

If YES, please specify and list.

A parent/guardian must be available to administer any medication required during class, as this cannot be the responsibility of the instructors.


Emergency Contacts

Emergency Contact Person when at swimming, e.g. Parent, Aunt, Neighbour, Grandparent etc.



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Terms & Conditions

Please see here: Terms & Conditions.

Acknowledge your acceptance of these Terms and Conditions by ticking the box below.

Yes

VenueAddressLocationDays
Newbattle High SchoolNewbattle High School
64 Easthouses Road
Dalkeith,
Midlothian
EH22 4EW
DalkeithFriday afternoons and Saturday mornings
Beeslack High SchoolEdinburgh Road,
Penicuik,
Midlothian
EH26 0QF
PenicuikFriday afternoons and Sunday mornings
Braes High SchoolBrightons
Falkirk
FalkirkSaturday afternoons
The Marine HotelMacdonald Marine North Berwick,
Cromwell Road North Berwick,
East Lothian
EH39 4LZ
North BerwickThursday afternoons
Peebles HydroPeebles Hydro
Innerleithen Rd Peebles,
Scottish Borders
EH45 8LX
PeeblesWednesday Mornings
Health CentralHealth Central,
Stewartfield Way,
East Kilbride,
Glasgow
G74 5LA
East KilbrideTBC