Adult and Child Swimming Lessons

Adult & Child Swimming Lesson Application

Choose a Swimming Pool(*) (more information)
Kelso Swimming PoolTeviotdale Leisure CentreEyemouth Leisure CentreGalashiels Swimming PoolPeebles Swimming PoolSelkirk Leisure Centre

Child's Full Name(*)

Child's Date of Birth(*)

Email Address(*)

Phone Number(*)

House Number(*)

Postcode(*)

Please detail your child's swimming ability(*)

Medical Details

Doctor's Name(*)

Phone Number(*)

Please provide details of any medication taken by your child

Does your child have any medical condition which may affect their ability to participate in the session? Or have any additional needs / physical, learning or sensory disability. If yes please provide details:

Data Protection

Please indicate by ticking the box below on how we can contact you for future classes/activities etc as well as if you are happy for us to take photos/videos of your child as part of our classes to use for LAL Social media.

Please indicate by ticking the box below on how we can contact you for future classes/activities etc as well as if you are happy for us to take photos/videos of your child as part of our classes to use for LAL Social media.

Photo / Video (For use on LiveBorders Social Media)EmailMailSMSTelephone

By selecting the above you agree to receiving communications regarding your accounts, subscriptions, and participating activities. You may receive service messages. Your data may be shared with third parties for agreed data processing such as the collection of subscription fees. Please refer to our data processing statement and privacy policy for more details.