Book a place on a Summer holiday course

Please use this form to enrol your swimmer(s) on one of our three summer holiday courses. If you’d like to book for more than 2 children, please complete the form as many times as needed.

Booking form for Summer holiday course 2020

Swimmer 1 details

Swimmer 1 name *
Swimmer 1 age *
Course date *
Time requested *Please note, to join the Swim Like a Mermaid time slot, the swimmer must be able to swim 50m.
Standard requested
Last Distance Badge (IMPORTANT) *

Swimmer 2 details

Swimmer 2 name
Swimmer 2 age
Course date
Time requested Please note, to join the Swim Like a Mermaid time slot, the swimmer must be able to swim 50m.
Standard requested
Last Distance Badge (IMPORTANT)

Your details:

Your name *
Mobile number
Landline number
Email address *

Fees:

Price for swimmer 1 *
Price for swimmer 2
Total owing= *
Club Organiser Account
You will be sent an email about this with a payment link.I would like to pay using this account

Please prove you're human!

Please enter any two digits *Example: 12
This box is for spam protection - please leave it blank:

Ways to pay

BACS:

Sort Code: 60-04-35
Account: 53269047
please use reference:
SUM.CHILD’S SURNAME

Cheque

payable to Aquarius Swimming Club
Sent to address below

Cash

Please send to:

19 Macaulay Road
Caterham, Surrey
CR3 5HR

Club Organiser Account

If you choose to pay this way, you’ll receive an email with a payment link.

Book a place on a Summer holiday course

Booking form for Summer holiday course 2020

Swimmer 1 details

Swimmer 2 details

Your details:

Fees:

Please prove you're human!

Ways to pay

BACS:

Cheque

Cash

Club Organiser Account

Pin It on Pinterest