Thank you for your interest in our classes. Please complete the form below and a member of our friendly office team will be in touch when the office re-opens after the Easter break on Tuesday 2nd April 2024. Child's first name: * Child's last name: * Child's D.O.B Your full name: First line of address Second line of address Town Postcode Contact telephone number Mobile Number (We will use this number to contact you with urgent messages, e.g. class cancellations) * Email address: * Emergency Contact Number (We will use this number if we need to get hold of another person while you are at our classes or if we cannot get hold of your mobile in an emergency) * Child's Swimming Experience (If your child has any previous swimming experience, or anything you feel we should know about their water confidence, please let us know here) Adult's Swimming Confidence (If you're not too water-confident yourself, no worries at all. All our Baby & Pre-School classes are at a comfortable depth for adults to stand up) Are there any health issues we should be aware of? (Including premature birth/reflux/heart problems) * Yes (child) Yes (adult) No If yes, please enter the details here: Preferred pool area Lincoln Grantham Edwinstowe Bourne Bucknall (Woodhall Spa) Preferred class choice Floaties (0-9 months) Splashers (6-15 months) Kickers (15-30 months) Little Dippers (30 months - 4 years) Level 1 (4 years+) Level 2 (4 years+ and can swim 5m) How did you hear about Puddle Ducks? If it was through a friend, please state your friend's name here: Additional notes: Privacy Submit
