Swimming Program Form

Parent / Guardian Information

Full Name (Parent/Guardian) *

Relationship to the Swimmer *

Phone Number *

Email Address *

Preferred Contact Method *PhoneEmailWhatsApp

Would you like to be invited to our WhatsApp group? (weekly rota) *YesNo

Emergency Contact

Emergency Contact Name *

Emergency Contact Relationship to Swimmer *

Emergency Contact Phone Number *

Medical & Additional Needs

Does the swimmer have any medical conditions we should be aware of? *0 / 250

Does the swimmer take any medication we should know about? *0 / 250

Does the swimmer have epilepsy or a history of seizures? *YesNo

If yes - describe seizure type and management plan0 / 250

Does the swimmer have any allergies? *0 / 250

Consents & Agreements

Photography / Video Consent (for progress tracking or SENfocus promotion) *YesNo

Consent for teachers to provide appropriate physical support in the water if required *YesNo

Payment Terms
SENfocus swimming sessions take place every Saturday at Eltham Centre, typically providing four sessions per month.
Payment must be made monthly on the first Wednesday of each month.
If you wish to withdraw your child, we kindly ask for one month's notice.

Safeguarding Agreement *Do you confirm that your child's allocated session space is strictly non-transferable and must not be given to friends or extended family members (breach of safeguarding procedures)?Yes, I understand and agree

Swimmer Onboarding Form

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