How to join a Puddle Ducks class

Your chosen class

You are booking Dippers classes during Summer Term 2012
at 11:30 on Fridays in Wessex Hotel Pool @ £11.00 per class.

We will contact you to confirm the exact price to pay.

N.B. To choose a different class enter your postcode into the "Find your nearest class" box at the top of the page.

About you and your child

Child's name* :
Is your child* : male female
Child's date of birth (d/m/y)* :
Your name* :
Address line 1* :
Address line 2:
Town / City* :
County / State / Province* :
Postcode* :

Contact email address* :
N.B. We will always contact you by email, please use an address that you check regularly.
Contact telephone number* :
N.B. We will contact you about payment, etc. via your main telephone number.
Mobile telephone number* :
N.B. We will contact you about cancellations, etc. via text message.
Emergency contact number* :
N.B. Please provide us with the number of a relative/friend who could be contacted in the event of an emergency. We will use this number if we cannot contact you in an emergency on either of those above.

Additional information

N.B. Adult's swimming confidence is only required for pre-school level classes.

Child's swimming experience* :
Adult's swimming confidence:
Adult & child health issues* :

How did you hear about us?* Please choose... Recommendation (please specify name or ref. no) Web search Health visitor Poster/leaflet (please specify) Advert (please specify) NCT Ante-natal class Other (please specify)

* I understand I must bring suitable swim nappies to appropriate classes.

* I agree to abide by all terms and conditions.