Puddle Ducks Bristol and Bath

Which type of swimming lessons are you interested in? *

Baby & Pre-school (0-4 years)

Swim Academy (4-10 years)

Both age ranges (0-10 years)

Parent/Guardian's Name *

Child's Name *

Child's D.O.B *

Email Address *

Contact Number *

First line of your address *

Postcode *

Emergency contact name (not your own) *

Emergency contact phone number *

Relationship to emergency contact *

Any medical conditions *

Please select the pools you would potentially like to swim at.* *

Which days of the week would you prefer to swim?*

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

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Puddle Ducks Bristol and Bath

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