RESERVE LIST

Swimmer's Name *

First Name

Last Name

Swimmer's Date of Birth *

MM

DD

YYYY

Parent/Guardian Name

First Name

Last Name

Do you consent to?

Photo Consent (Marketing and Training purposes)

Storing of Email for Marketing purposes

I agree to the Terms and Conditions (Please see Member Hub / Terms & Conditions page) *

I'd like to be added to the waiting list for;

Aqua Babies (3 months - 4 years)

Aqua Heroes (3.5 years +)

Aqua Legends (Adult)

Aqua Gym

I'm interested in Swimming lessons at the following venues; *

The Triangle, Fulwood (PR3)

The Marriott, Broughton (PR3)

Three Rivers, Clitheroe (BB7)

Mayfield School, Chorley (PR7)

Shaw Hill, Chorley (PR6)

Beacon Fell, Longridge (PR3)

We are available on;

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

I would like;

Group Lessons

Private Lessons (1-1)

Semi-Private Lessons (2-1)