NEW COURSES Triathlon Swim Schools in Ashby and Loughborough starting April 2017

Swim Clinic Booking Form

Thank you for your interest in our Swim Clinics.  To start your booking, please fill in the form below.

There is one booking form for all our Swim Clinic days so please ensure you select the date(s) you want to book.  

The form also includes a health questionnaire.

Once you have submitted it, you will be taken to a separate page to pay by Paypal to finalise your booking.

Please note that all fields followed by an asterisk must be filled in.
26th November
10th December
14th January
11th February
Invoice via Paypal
Email invoice to pay via BACs
Fins
Paddles
Pull buoy
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Convulsions/epilepsy
Asthma
Diabetes
Heart problems
Chest pain or heart palpitations
Shortness of breath
Unconsciousness or fainting
Numbness in hands or feet
Disturbance of balance/coordination/vision/hearing
Problems with bones, joints or muscles
A blood disorder/virus
Low or high blood pressure
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No

Please enter the word that you see below.

  

If you have any problems with, or questions about the booking process, please contact us.

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