Lessons Enquiry Form
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Child One Information and Enquiry Details
Childs First Name
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Does this child have any medical conditions?
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Parkside school
What day(s) of the week is this child available?
Select Days
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Select Activities that this child is interested in
Select Activities
Swimming
Water polo
Diving
Gymnastics Requirements
What type of course are you interested in?
Select Course
Weekly Lessons
Crash Courses
Select Category
Select Category
Level
Select Level
Participant Experience
Select Participant Experience
Adult One Information and Enquiry Details
First Name
Surname
Email Address
Contact Number
Provide consent to collect medical data?
Select
Yes
No
Does this adult have any medical conditions?
Select
Yes
No
Please specify medical conditions
Date of Birth
Gender
Select Gender
Male
Female
Non-binary
Not Supplied
Select the venues that this adult can attend?
Select Venues
Parkside school
What day(s) of the week is this adult available?
Select Days
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Select Activities that this adult is interested in
Select Activities
Swimming
Water polo
Diving
Gymnastics Requirements
What type of course are you interested in?
Select Course
Weekly Lessons
Crash Courses
Select Category
Select Category
Level
Select Level
Participant Experience
Select Participant Experience
