Swimmer Application Form

Swim Active’s mission is to enable Swimmers, 4 years old and above, to learn an important life skill, have fun and build confidence in the water. This will be done through an assessment, based on Swim England guidelines, followed by a structured plan to support the Swimmer’s needs.

Swimmers Information

Swimmers Full Name

Date of Birth

Are there any Medical Conditions or Disabilities that we need to be aware of?

Are there any special needs/learning difficulties that we need to be aware of?

Parent / Guardian Information

First Name

Last Name

Mobile Number

Any additional Information we need to be aware of?

General Information

Swimmer Assessment

A 10 minute assessment will be performed with the Swimmer to assess their ability and ensure they go into the correct group lesson.

Once the assessment is complete and a group has been selected for your child then a separate link will be sent for you to sign our Terms & Conditions. Please note Terms & Conditions must be signed before lessons can commence.