Parents/Guardians Name:
Contact Number:
Address:
Mobile:
Emergency Contact Name:
Emergency Tel Number:
Postcode:
Emergency Mobile:
Email address:
CHILDREN'S DETAILS
Child 1 Name:
Child 2 Name:
Date of Birth:
Age:
Date of Birth:
Age:
Current School:
Year:
Current School:
Year:
Medical conditions & Allergies:
Medical conditions & Allergies:
Any other important Information:
Any other important Information
Swimming Ability:
Beginner Improver Advanced
Swimming Ability:
Beginner Improver Advanced
BOOKING INFORMATION
Days/Weeks & Times Attending
Days/Weeks & Times Attending
I enclose booking form and payment please circle: Cash/Postal Order Cheque
I enclose payment of £__________________ Made Payable to O’Tooles Swimming School
Add your details to the O’Tooles database for future holiday course information?
Yes: No:
Pictures of your child maybe used for future marketing material?
Yes: No:
I am aware by signing this form I agree with O’Tooles Holiday Activities terms and conditions, and give my consent to O’Tooles to administer emergency first aid and seek professional help where necessary. Full terms and conditions are available at www.itsabouthavingfun.com or by request.
Signature:
Date:
Payment and booking forms should be sent to: O’Tooles, 104A Mytchett Road, Mytchett, Surrey, GU16 6ET
