AQUATOTS BOOKING FORM

Please read the Terms and Conditions and Code of Conduct prior to completing your booking documentation and ensure that you have completed your details in full, including: child's name and date of birth, each time you book an Aquatots course.
BABIES MUST BE AGED 1O WEEKS & 10 lbs (4.5 kg) IN WEIGHT & UNDER 18 MONTHS TO START THE AQUATOTS COURSE
Child's name  Child's Surname  Child's D.O.B 
Your name     
Have your contact details changed?   no  yes
Telephone no.     
Mobile no.  
The onus will be on you to access your answer phone or message service(s) on a regular basis.
Next of Kin  
Next of Kin Tel 
Address 1
Address 2
Address 3
Post Code  
E.mail  e.mail Policy
Do you have high speed internet access (Broadband , ADSL , ... )   no   yes

NEW SWIMMERS (joining Aquatots for the first time)

Previous baby swimming club
(if applicable):		 How did you hear about us ?
I was recommended by an
Aquatots friend, who's name is:		 who's baby's name is:

Aquatots course fee: £114.50 per term for all pools. Cheque made payable to Aquatots
Photo- Membership: £23  Cheque for Membership & merchandise made payable to Aquatots.
For merchandise purchased at the pool-site, cheques made payable to your Instructor.

Which term do you wish to enrol on to?
 Pool Site Requested
 Day
 Time

Level 1
Ducklings		Level 2
Cygnets		Level 3
Swans		Level 4
Penguins		Level 5
Beavers
Level 6
Otters		Level 7
Turtles		Level 8
Crocrodiles		Level 9
Octopus		Level 10
Seals
Level 11
Dolphins		Level 12
Whales		Level 13
Orcas		Level 14
Rays		Level 15
Mantas
Level 16
Barracuda		Level 17
Swordfish		Level 18
Flying Fish		Level 19
Marlins		Level 20
Sharks
Level 21
Tigers		Level 22
Hammerheads		Level 23
Great Whites		      
Please complete and sign the Parental/Guardian Assumption of Risk Agreement and Booking Form & return with your payment to Aquatots, 23A Brighton Road, South Croydon, Surrey, CR2 6EA to be received within the 7 day deadline.

I have read and agree to abide by the
   Terms and Conditions,
   Assumption of Risk Agreement,
   Code of Conduct.

 Your signature

AQUATOTS is unable to enter into a binding agreement with persons under the age of 18.		 Date
OFFICE USE ONLY
Amount Received.........................
Date Received..............................
 

PARENTAL/GUARDIAN ASSUMPTION OF RISK AGREEMENT

It is important that you read the contents of this agreement before completing and signing as failure to do so will mean that we will be unable to process your booking or allow attendance or participation at Aquatots swimming session(s).

This is a statement in which you are informed of the risks involved with swimming and sets out the circumstances under which you, your Spouse/Partner, your child, child's legal guardian or appointed representative(s) which, from here on in known as, for the purposes of this document as those ‘in whose care you have placed your child to attend Aquatots, will participate in and which is undertaken at your and their own risk.

Your signature and where applicable, that of your Spouse/Partner, and or those in whose care you have placed your child, to attend Aquatots swimming session(s) must be placed on this statement and is required before participating in or attending any Aquatots session(s).

Your signature and where applicable, that of your Spouse/Partner, and or those in whose care you have placed your child attend Aquatots swimming session(s) is also required on this statement if prior to booking an Aquatots course you or they attended any of the venues used by Aquatots for the purpose of observing an Aquatots swimming session(s).

WARNING
Swimming, as with any activity, which takes place in, on or around any body of water or in the immediate area of any body of water has obvious inherent risks including, but not limited to drowning. When attending any property for the purpose of taking part in or viewing an Aquatots swimming session(s) you must ensure that you, those in your care, and those who accompany you, voluntarily or otherwise, follow the Aquatots Code of Conduct.

HEALTH
You must advise truthfully and fully inform Aquatots and your instructor(s) of any pre-existing medical condition that you or the child and where applicable, that of your Spouse/Partner, or those in whose care you have placed your child may have prior to the start of the Aquatots swimming sessions.

You must also inform Aquatots and your instructor(s) of any medical condition diagnosed following the start of the booked swimming session(s) for your child and where applicable, that of your Spouse/Partner, or those in whose care you have placed your child for the purposes of swimming with Aquatots.

If you have any queries in regard to health issues and swimming, it is advised that you contact your General Practitioner, Health Visitor, and or Paediatrician prior to the signing of this statement and participation in any Aquatots swimming session(s).

EXCLUSIONS
Neither Aquatots, its employees or the instructor(s) accept any responsibility for any death, injury or loss suffered nor damage to any part of the swimming pool or building in which the pool is located, or any adjoining lands, buildings or boundaries caused by you, your Spouse/Partner, your child, or those in whose care you have placed your child, for the purposes of swimming with or observing Aquatots resulting from any conduct, matter or condition under your or their control, which amounts to contributory negligence whilst attending any Aquatots swimming session(s).

Neither Aquatots, nor its employees or instructor(s) accept any responsibility for any damage, discolouration or tarnishing to any items of jewellery, including watches, worn by you, your child or those in whose care you have placed your child, for the purposes of observing or swimming with Aquatots.

Neither Aquatots, its employees or instructor(s) accept responsibility for any discolouration to any item of clothing or costume worn for the purposes of swimming by you, your child or by those in whose care you have placed your child purposes of observing or swimming with Aquatots.

In the absence of any proven negligence, lack of due diligence or breach of duty by the instructor(s), Aquatots, or its' employees, the participation of you, your Spouse/Partner, child, or those in whose care you have placed your child for the purposes of attending or observing Aquatots swimming sessions is done so entirely at your and their own risk.

This Assumption of Risk  also extends to any other person(s) who may voluntarily or otherwise, accompany you, your child, your Spouse/Partner, or those in whose care you have placed your child for the purposes of observing or swimming with Aquatots.

I acknowledge receipt of this document and have read all the terms before completing and signing this agreemen. I also affirm that I am over 18 years of age.   Aquatots is unable to enter into a binding agreement with persons under the age of 18.

Parent/Guardian / Appointed Representative (Print)
   Term
  
Baby's Name (Print)
 Pool site
  
Parent/Guardian /Appointed Representative Signature
 Date
 Day
 Time
 
 

 



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