ASN Swimming Lesson Application

We fully encourage children with physical, sensory and learning disabilities to attend our swimming classes. We invite parents and carers to fill in this form, to help us decide the best type of learning environment for your child, if they have an Additional Support Need or disability.

For most participants we recommend starting in our PASN classes (Parent and ASN with Parent in water). Once your application is processed we will get in touch with further information.

1. Participant Details *

Forename
Surname
Date of Birth
Gender

2. What Additional Support Need(s) or disability does your child have? Please be as specific as you can and include information on any access needs and communications requirements that may be relevant. *

3. Does the participant have any medical conditions? *

Yes
No

ASN Swimming Lesson Application

1. Participant Details *

2. What Additional Support Need(s) or disability does your child have? Please be as specific as you can and include information on any access needs and communications requirements that may be relevant. *

3. Does the participant have any medical conditions? *

4. If Yes, please provide details

5. Participant's current swimming ability: *