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To enable us to efficiently deal with your enquiry, please provide the following information:
You may provide as much or as little information as you wish on this form. Should you experience difficulties in submitting the form, please accept our sincere apologies and click here to email us or telephone our head office on 01273 833 101
about your child/baby...
Child's first name
Child's last name
Age years months
Date of birth
Male Female
about you...
Your first name
Your last name
House Name/No
Street
Town/City
County
Post Code
E-mail
Telephone number
Alternative telephone number
Have you used Aquakiddies/Babies before? Yes No
Please tell us how you heard about Aquakiddies/Babies Press Radio/TV Friend Internet Search Engine Local Pool Other
About your enquiry...
Please tick all that apply and/or give details of your enquiry in the box below:
Please telephone me on the following number to discuss my enquiry
Contact Number
Best time to call
I am interested in booking a place for my child on the following course:
Pool name
*Preferred Day
*Preferred Time
*Please note that we will contact you with alternatives if your first choices are fully subscribed
I cannot find an Aquakiddies/Babies class in my area but know of a suitable hydrotherapy pool
Name of Pool/Centre
Area
I am interested in becoming an Aquakiddies/Babies teacher
Quick reminder... You may provide as much or as little information as you wish on this form. Should you experience difficulties in submitting the form, please accept our sincere apologies and click here to email us or telephone our head office on 01273 833 101. Click here to submit your form
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