Aquatics Aberdeen - Learn to Swim - Application Form (School Age & up)

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1. Level of Application:
Page 1 of 4

Membership Application - Aquatics Learn to Swim Membership

This agreement is made on the terms set out below between Sport Aberdeen, Broadfold House, Broadfold Road, Aberdeen, AB23 8EE; Registered Charity No. SC040973 (hereinafter referred to as The Club) ("we" and "us") and "you" the member named below.

1. Information about the Adult or Child taking the lessons

Forename
Surname
Date of Birth
Gender

2. Does applicant have any medical conditions or special needs?

3. If you have been referred by your kinship social worker please enter your code.

4. Customer Information (Parent / Guardian) *

Title	*
First Name	*
Surname	*
Address 1	*
Address 2	*
Address 3	*
Postcode	*
Telephone Number	*
Mobile Number	*
Email	*

Aquatics Aberdeen - Learn to Swim - Application Form (School Age & up)

1. Level of Application:Page 1 of 4

1. Information about the Adult or Child taking the lessons

2. Does applicant have any medical conditions or special needs?

3. If you have been referred by your kinship social worker please enter your code.

4. Customer Information (Parent / Guardian) *

1. Level of Application:
Page 1 of 4