Contact Us

Your Name:

Phone Number:

Email Address:

Which Pool?:

Ploughcroft
Rastrick

Are you ready to start now?:

Yes
No

Do you want adding to a waiting list to start at later date?:

Yes
No

If so, when would you like to start?:

The following is optional information:

Post Code:

Child Name:

D.O.B:

Child Name:

D.O.B:

Child Name:

D.O.B:

Any illnesses or disabilities (deafness etc):

Days & times you are available to swim: