New swimmer enquiry form : Learn to swim: Royal School (Wolverhampton)

Please fill in the form below and a member of staff will be in contact with you when a space becomes available

Name of swimmer

Swimmers date of birth

Day

Month

Year

Parent / Guardian name

Address

Post code

Contact number

Email address

Medical conditions

Swim class information Swimming lessons take place Monday to Friday evenings (excluding Thursday) and Saturday & Sunday daytime Please enter any information here relevant to your/ your child’s swim experience or availability.

Terms and conditions

All customer personal information is held on our secure web-based programme CoursePro. Please tick to confirm you are happy for us to keep your details.

Please tick to confirm you have read and accepted our terms and conditions which include how your data will be processed

Consent for Marketing

Please tick to confirm you are willing to be contacted for marketing purposes. Please note this does not affect CoursePro triggers

Email : Tick to allow contact

SMS : Tick to allow contact

Phone : Tick to allow contact

New Swimmer enquiry form

Contact us