About you Participant's Name Address Age Date of birth Home Telephone Number Emergency Contact Number Parent/Guardian email Address ISE Membership Number Parent/Guardian's Name Name of Person Completing Form Swimming information Swimming Experience: Non swimmer Can swim 5-15mCan swim 15-25mCurrently attending ISE swimming lessons If you have answered “previously had lessons” or “currently in lessons” what level has been achieved to date? What are you looking to gain from 1-2-1s? (Please choose all that apply) Water confidenceGeneral swimming techniqueA specific aspect of swimming (please specify) Please specify any additional support needs if relevant Parental consent I wish my child to take part in the ISE Swimming Programme and agree that my child’s personal data can be used for the purposes described in the ISE Swimming Programme Privacy Notice. I have read the ISE Swimming Programme Privacy Notice and the statements listed above and I wish my child to participate. * YesNo Booking Terms and Conditions Submission of this form is not confirmation of your child’s place on the Swimming Programme. You should receive an email within 72 hrs of application confirming your booking (which will need to be paid for within 3 days of confirmation). 1-2-1 lessons booking deadline: Midday on Wednesday for that Friday’s lesson and midday on Friday for the following Monday’s lesson. If 1-2-1 lessons are cancelled up to three days before the lesson, a full refund will be given. If lessons are cancelled or missed within 3 days, no refund will be given. The Institute of Sport and Exercise reserves the right to add or change courses. We may also, at any time withdraw all or part of the programmes for any period for events, alterations, repairs, maintenance, staff training or any other security and/or health and safety reason. Customers will be made aware of such changes via email, Institute website, ISE social media sites and in-house TV screens. If, in the event of a course not taking place, you will be notified no later than three days prior to the course start date. Allocation of course places will be done in the order of receipt of applications. Swimmers in the programme will have first opportunity to book for the next block of lessons. Courses must be paid for before the course starts as spaces cannot be reserved. Once courses are filled you can request your name be added to the course waiting list. Need assistance with this form?