Child’s Name

Aqua Babies ® Enrolment Form

Child’s Name		DoB
Medical Conditions Known
Parents Name
Address Line 1
Address Line 2
Address Line 3
Post Code
Daytime Contact No.
Mobile No.
Email Address

PRELIMINARY COURSE 1 Location (Indicate 1^st and 2^nd Choices)		Preferred Day of Attendance (Please Tick)
	The Birches School, DIDSBURY		Monday
	The Royal School For The Deaf, CHEADLE		Tuesday
	Aqua Babies Centre (Formerly Splash Swim School)		Wednesday
	Valley School, BRAMHALL		Thursday
	New Bridge School, OLDHAM		Friday
	Quality Hotel		Saturday
			Sunday

FEES

£10.50 per lesson including VAT, paid as a course fee once a place is offered.

‘Happy Nappy’ Swim Nappy £10.00

Payments (made payable to Aqua Babies (UK) Ltd) may be made with a debit or credit card when a place is offered to you.

Places are not guaranteed until payment is received.

BOOKING

Please sign and date the enrolment form to place your course booking and confirm that you have read the Aqua babies
Terms and Conditions and agree to abide by them.

Signed _____________________________________________________ Date ________________________

Please return this form to:
13a Marsland Road, Sale Moor, Manchester, M33 3HP Vat registration number: 844 5283 15