Swim Academy Booking Form Swim Academy Booking Form Step 1 of 5 20% Please ensure all sections of the form are filled out correctly, with particular attention paid to the terms and conditions section.Parent / Guardian Name*Address* Street Address Address Line 2 City County Post Code Contact Number*Email* 1st Child's Name* First Last Child's Date of Birth* Day Month Year AgePlease enter a number from 1 to 17.School Do you have a 2nd child also joining the Swim Academy??* Yes No 2nd Child's Name First Last Child's Date of Birth Day Month Year AgePlease enter a number from 1 to 17.School MEDICAL CONSENT & EMERGENCY CONTACT DETAILSThis section is to be completed by parent or guardian for all participants. I conset to allow my child(ren) to participate in the Swimming Academy sessions. I consider my child(ren) to be physically fit and capable of full participation, but in the event that he/she should be injured when I am not present, I give my permission for the teacher/coach to obtain emergency medical and/or dental treatment on his/her behalf.* I consent Emergency Contact*Relationship to Child*Contact Number*MEDICAL INFORMATIONPlease detail below any important medical information that our teachers/coaches should be aware of (e.g., epilepsy, asthma, diabetes, allergies etc) and note the treatment or medication required. Please put "None" or "N/A" if no medical conditions.Does your child(ren) have any medical conditions or needs that we need to know about?* Yes No Medical conditionPlease give details of any medical conditions we would need to know about along with the name of the child it relates to. If more than one child has a medical condition please list the condition/s next to the child's name. Action to be takenOther needs How to Book & PayPayment information will be sent upon confirmation of your child's Swim Academy place. Payment is required prior to commencing lessons and must be made by the date shown on the payment email. Block-booking lessons will be based at a cost of £12.00 per lesson per child (25 minute session). Online payments can be made as follows: Cranleigh School Sort code: 40-51-62 Account number: 69052797 Please reference your online payment as "name - SA". Questions can be directed via email (swimacademy@cranleighactivities.org) or phone (01483 542125).Method of Payment* I will make an online BACS payment. I will pay by card over the phone or in person Terms and Conditions Programme Changes: Cranleigh School Swim Academy reserves the right to cancel a course if there are insufficient numbers on either a course or within any age category. In such circumstances your money will be refunded. Cancellation: In the event of You cancelling giving less than 48 hours notice will result in you incurring the full cost of the course. Incompatibility: Cranleigh School Swim Academy reserves the right to exclude or refuse entry to the Lesson if it believes that any person is causing damage to the facilities, or is disruptive to the other attendees. No refund will be given under these circumstances. Medical Details & Emergencies: It is imperative that full details of all medical and special dietary conditions are declared on the Booking Form for each participant. In the case of any medical emergency we will contact you as a soon as possible. The Academy should be made aware of all drugs and other medication carried with the participant, parents/guardians ensuring that all items are clearly marked. Liability: The Academy accepts all responsibility for those elements of the course under its direct control if caused by proven negligence of the Academy or its employees including death or personal injury. The Academy does not accept responsibility or liability for the loss of enjoyment arising from but not limited to the following: travel arrangements, strikes, acts of terrorism, bad weather, loss or damage to personal property, personal injury or illness suffered whilst on the Course. Disclaimer The content in the Cranleigh School Swim Academy Booking Form is made in good faith as at time of going to print. We reserve the right to make changes.Data Protection NoticeThe Company is registered under the Data Protection Act 1998. The Company will use your information for fulfilling your order and/or processing and booking a Course, administration and marketing. The Company may disclose your information to its agents and service providers for these purposes. The Company may share your information with other carefully selected third parties. The Company or the third party may contact You by mail, telephone or email with offers of goods and services, or forthcoming events or conferences which may be of interest to you. We will never pass on your data to a third party without your permissions. For further information on how we may use your data, together with your data protection rights, please refer to the Privacy Notice-Commercial Activities at https://www.cranleighactivities.org/ policies/ We would like to be able to keep in touch with you about future Swim Academy courses so please tick the box below if you are happy to receive news and updates about the Swim Academy. Cranleigh School also offers other courses that may be of interest to you and we would like to be able to contact you about these. Please tick the box below if you would be happy to receive these marketing emails. You can change your mind at any time and there will be the option to unsubscribe from them at the bottom of each email.Cranleigh School Swim Academy is completely dedicated to your total satisfaction. If you have any suggestions or comments please email us at swimacademy@cranleighactivities.org.Consents Select All I would like to receive emails with news and updates on future Swim Academy activities I would like to receive marketing emails about other courses that Cranleigh School offer I give permissions for my son/daughter to be filmed or photographed for marketing purposes at any time during the course Declaration* I have read and agree to the Terms and Conditions Consent* I agree to the privacy policy.How did you hear about us?*
