Enquiry Form
Please enter your details below and we will be in touch regarding booking options!
About You
First Name
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Are you the participant?
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Date of Birth
Gender
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Select the venues that this adult can attend?
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Ladybridge
The Splash Academy
elms bank
turton
What day(s) of the week is this adult available?
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Monday
Tuesday
Wednesday
Thursday
Friday
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Select Activities that this adult is interested in
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Swimming - STA
Gymnastics Requirements
What type of course are you interested in?
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Weekly Lessons
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Level
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Starfish A+C
Stanley A+C
Stanley (1-4)
Stanley (4-7)
Octopus
Goldfish
Angelfish
Shark
Shark advanced
1-2-1
1-2-2
1-2-3
Participant Experience
Select Participant Experience
Who are you enquiring for?
Number of Children
0
1
2
3
4
5
Number of Adults
0
1
2
3
4
5
Marketing preferences
Please add my details to the database and I am happy to be contacted regarding possible future bookings.
Submit
Child One Information and Enquiry Details
Childs First Name
Childs Surname
Date of Birth
Childs Gender
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Male
Female
Non-binary
Not Supplied
Provide consent to collect medical data?
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Yes
No
Does this child have any medical conditions?
Select
Yes
No
Please specify medical conditions
Select the venues that this child can attend?
Select Venues
Ladybridge
The Splash Academy
elms bank
turton
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 - STA
Gymnastics Requirements
What type of course are you interested in?
Select Course
Weekly Lessons
Select Category
Select Category
Level
Select Level
Starfish A+C
Stanley A+C
Stanley (1-4)
Stanley (4-7)
Octopus
Goldfish
Angelfish
Shark
Shark advanced
1-2-1
1-2-2
1-2-3
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
Ladybridge
The Splash Academy
elms bank
turton
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 - STA
Gymnastics Requirements
What type of course are you interested in?
Select Course
Weekly Lessons
Select Category
Select Category
Level
Select Level
Starfish A+C
Stanley A+C
Stanley (1-4)
Stanley (4-7)
Octopus
Goldfish
Angelfish
Shark
Shark advanced
1-2-1
1-2-2
1-2-3
Participant Experience
Select Participant Experience
Terms and Conditions
Please add my details to the database and I am happy to be contacted regarding possible future bookings.
