Waiting List
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Waiting List |
Please Complete in Block Capitals
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First Name |
Surname |
Date of Birth |
Sex |
Medical Condition |
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M/F |
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Address:
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House Number/Name: |
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Street: |
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Address: (1st Line) |
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(2nd Line) |
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Town: |
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Post Code |
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Home Telephone Number: |
Std Code( ) |
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Mobile Telephone Number: |
Std Code( ) |
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Preferred Session [Tick all that apply] |
Saturday |
Sunday |
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08:15 – 08:45
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08:45 – 09:15
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08:30 – 09:00
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09:00 – 09:30
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09:30 – 10:00
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Lesson allocation will be based upon availability for the preferred session times as indicated above. Therefore the more sessions
selected above will reduce the waiting period.
Date:
PLEASE SAVE and e-mail to info@beaufortswimmingclub.org