Registration of Interest Form

Family name  
Child's name (if known)  
Date of birth  
Age  
Parents name(s)  
Address

  
Post code  
Home phone no.  
Email address  
Where did you hear about us ?  

 

 

 

Please register your interest using this form at any time and we will contact you when a suitable course date is available at which time you will be required to complete a full registration form.


If you have any queries or would like to discuss the courses in more detail
please contact us on 01484 682 311
or visit us at www.swimbabes.co.uk

Please return to: Flippers Swim Babes Ltd, Old Barnside House, 6 Barnside Lane, Hepworth, West Yorkshire, HD9 1TN