Adult Swimming Lessons Pricing

Lesson Registration

For General Enquiries Please Use Our

Contact Form

Personal Details

Full Name (required)


Telephone Number

Mobile Number

Email (required)

Emergency Contact Details

Emergency Contact Name (required)

Emergency Contact Mobile Number

Emergency Contact Email (required)

Medical Information

Please provide details of any Medical Conditions

Optional Information

How did you hear about Super Swim Academy?

If other, please specifiy

Data Protection & Consent

Super Swim Academy Ltd complies with the Data Protection Act 1998. Information you provide may be stored in both manual and electronic formats. It will be held to facilitate the services we provide to you and your child(ren) and to assist with record keeping, statistical & research purposes, and on-going communication about the services we offer. We will never pass on your details to third parties for marketing purposes.

From time to time we may use photographs taken during swimming sessions in promotional material for the business. These images may be used in printed, electronic and any other appropriate media for the purpose of publicising Super Swim Academy Ltd.
Please tick the box below if you DO NOT CONSENT to photographs of the registrant being used for the purpose stated.

If you have having trouble with our form or prefer to print a copy please download the PDF version of this form.

Registration Form PDF