New Customer Swim School Enrolment

Parent/Guardians Details

Parent/Guardians First Name* Parent/Guardians Surname* Full Address* Post Code* Email Address* Confirm Email Address* Contact Number* Relationship to Participant*

Participants Details

Childs First Name* Childs Surname* Date of Birth (DD/MM/YYYY)* Gender* Does your child have Medical Conditions/Disabilities* If Yes, please specify

Participants Current Ability

Please follow the questions below, your answer can determine the next steps after submitting this form. Any inaccurate details could either delay your enquiry process or even delay your childs development. So please read carefully and answer truthfully.

Is your child 4 years old or 5 years old and over? (Please note we don't supply Baby/Toddler Classes for 3 years and under)* Has your child recieved swimming lessons before?* Is your child confident having water over the face? This includes also taking baths and shower* Do you think your child can roam freely around a swimming pool confidently and independently? This includes walking in the water, feet off the floor or the use of flotation aids by themselves*

SWIM SCHOOL RULES AND SAFETY GUIDELINES

We would like to take this opportunity to thank you for choosing Brockworth Sports Centre as your child’s swimming provider. We trust that you have now received your child’s confirmation of place and thank you for payment of fees. The following information will be beneficial to you in order to help us keep everyone on poolside safe and that your child gets the most out of their swimming lessons.

GENERAL INFORMATION

• Children MUST arrive and leave the venue with, as a minimum, T-shirt/shorts/dress and flip-flops on.
• All children MUST be changed in changing rooms and NOT on poolside.
• Parents and children are not allowed on to the poolside until the teacher is present.
• If your child is waiting for their class to start, can you please ensure that noise is kept to a minimum and wait quietly in the pool area. This applies when one child is swimming and you may have other siblings with you.
• Please ensure if you are not waiting on poolside with your child when they are in the pool that you arrive back to poolside at least 5 minutes before the end of the lessons in order to be able to collect them. Children should not leave the pool area unaccompanied.
• To maintain a hygienic and clean pool area, shoes/socks have to be removed before entering, unless you buy/supply yourself some overshoe covers.
• While on poolside swimmers or siblings may not play with any of the equipment on site, this includes floats, toys etc, this can become a hazard on poolside and may cause an accident.
• If your child has been sick, had diarrhoea, feels unwell or has any open wounds they should not be swimming.
• No food or drink to be brought on to poolside – with the exception of water in a plastic sports bottle.
• No glass items are allowed in the changing rooms and on poolside.
• Spectators MUST stay in the designated areas. Parents/Guardians/Siblings should not approach the edge of the pool or lift the swimmer out of the water.
• Mobile devices are allowed on poolside, however taking photos or recordings is strictly prohibited.

INFORMATION FOR THE SWIMMERS

• Swimmers MUST follow the teacher’s instructions at all times.
• All swimmers MUST shower before entering the pool.
• Please use the toilets provided not the swimming pool.
• Appropriate swimming attire must be worn at all times. Swimmers with religious concerns must wear clothing that does not interfere with their safety.
• No running anywhere on poolside.
• Please do not eat within 30 minutes of the start of your lesson as it increases the risk of regurgitating your food.
• Please change quickly and quietly in the changing rooms, and like the poolside there should be no running.

Thank you for taking the time to read these rules and guidelines, and for explain them to all visitors coming on site for swimming lessons. Although it may seem extensive we hope that you appreciate our efforts to ensure that the pool and environment is hygienic and safe for all our participants and spectators. We look forward to seeing you at the pool.

Please observe our guidelines with regards to COVID-19 on www.brockworthsportscentre.co.uk

ACCIDENT WAIVER AND RELEASE OF LIABILITY

I the Parent/Guardian hereby consent to my child becoming a member of Brockworth Sports Centre from the date outlined on the Swim School Application Form. During the Swim School Programme, I consent to my child participating in all activities and/or events organized or attended by Brockworth Sports Centre.

I have received, read and understand the Swim School rules and safety guidelines issued. These rules and guidelines have been provided to you and we’d appreciate that you explain these to the swimmer involved or other persons accompanying the swimmer to the poolside. These rules and guidelines must be followed at all times for the safety of all participants and spectators.

I understand that Brockworth Sports Centre reserves the right to deny access to it’s facilities if my child is deemed by the management to have failed to comply with any rules/guidelines/instructions or if it considers that my child is unfit and/or an immediate risk to others.

I waive, release, and discharge liability to Brockworth Sports Centre, it’s employees, volunteers and representatives for personal injury or any accident caused as a result of my child’s negligence or as a result of my child disobeying instructions whilst participating in the activity/event.

I certify that my child is physically fit and I know of no physical reason, illness or medical condition to which would preclude my child's participation in such events. I fully understand the risks associated with my child participating in such activities and/or events which can include accident, personal injury, including injuries unknown and unanticipated, or even death. Should the need arise I hereby give my consent to Brockworth Sports Centre to provide medical treatment, which may be deemed advisable in the event of injury, accident, and/or illness during participation in such activity/event.

I understand that no responsibility will be accepted by Brockworth Sports Centre for loss or damage to the property or valuables of my child, even if such items are left in the lockers provided.

For your information, our Swim School terms runs in 12-week terms over 50 weeks of the year (2-weeks closure over Christmas Period). Your payment will cover the current term (whether in full or pro rata).
Renewals – You will be invited onto the following term a few weeks before the end of the current term. No refunds are provided for Swim School, but we will provide a credit for the following term should a lesson be unfortunately cancelled. Payment must be made in full for the following term by the end of week 12 (of the current term). If booking and payment hasn’t been confirmed by week 1 of the new term, your child’s place will be removed, however you will still need to provide 4 weeks (in line with our cancellation policy). If we have to cancel a swimming lesson we will aim to provide a minimum of 2 hours notice – we will communicate this via text message/email – and a corresponding credit will be automatically to your account.

Cancellation Policy – If you wish to cancel your child’s place, please email relevant details (child’s name, day, time, stage of swimming lesson and confirm your name and contact number) to Sportcentre@henleybankhighschool.co.uk providing a minimum of 4-weeks notice (by the end of week 8 of a term). If the required notice isn’t provided, 4 weeks payment will be required for cancellation. Please note, for all refunds the 4% transaction fee (for processing your online booking) will be deducted

Photography – I understand the use of photography or film video recording on a mobile device or camera is strictly prohibited on poolside (all in line with our photography and safeguarding policy). Any suspicion of the use of photography or video recording that hasn’t been authorized, staff members have the right to ask those in question to see the photo/video or to leave the centre (further investigation could take place). I give consent that Brockworth Sports Centre may ask to take photos/videos for promotional purposes of the business by a member of staff or and external company.

Please observe our guidelines with regards to COVID-19 on www.brockworthsportscentre.co.uk

Declaration and Summary

Membership Declaration*I confirm by submitting this form I have read and understand the accident waiver and liability and will follow Swim School rules and safety guidelines and agree to abide by these terms and conditions.I confirm by submitting this form that I read and understand the above information is true. I will keep this information up to date with the Sports Centre.I agree that by submitting this form my contact details can be used to keep me up to date with information related to the Sports Centre.

Once the form is submitted, please allow 3/5 working days to receive an email from our team members.

We will be sending the relevant information via email to discuss the stage, day and time of your lesson.
(Please be aware that depending on your application, we may invite your child for an assessment).

To guarantee your space on the Swim School, we will be sending the relevant information to collect full payment via our online booking system.

Please click "SUBMIT" below to complete you application