Bookings Enquiry Form Perseid School - dolphinswimschool

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Bookings Enquiry Form Perseid School

Bookings Enquiry Form Perseid School

Perseid School Booking Enquiry

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Venue *

Check Boxes *

I am a new client
I am an existing client

How did you hear about us? *

Social Media
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Recommendation from a friend
Other:

Parent / Guardians Name *

First

Last

Address *

Address line 2 *

City / Region *

First

Last

Postal / Country *

First

Last

Email *

Mobile *

Childs Name *

First

Last

Checkboxes (copy) (copy) (copy)

Male
Female

Date of Birth *

Ability Level (1st Child) *

Preferred Days (1st Child) *

Thursday
Sunday

Medical Conditions If Any (1st Child)

2nd Childs Name

First

Last

Checkboxes (copy) (copy)

Male
Female

2nd Childs Date of Birth

Ability Level (2nd Child)

Preferred Days (2nd Child)

Thursday
Sunday

Medical Conditions If Any (2nd Child)

3rd Childs Name

First

Last

Checkboxes (copy)

Male
Female

3rd Childs Date of Birth

Ability Level (3rd Child)

Preferred Days (3rd Child)

Thursday
Sunday

Medical Conditions If Any (3rd Child)

4th Childs Name

First

Last

Checkboxes

Male
Female

4th Childs Date of Birth

Ability Level (4th Child)

Preferred Days (4th Child)

Thursday
Sunday

Medical Conditions If Any (4th Child)

Waiting List

Tick the box if you would like to be added to the waiting list

Comments

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New Enrolment Information

Venues

Mitcham / Colliers Wood

Perseid School / Morden

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