Swim proforma

Please tick the box on the right to confirm you will read the EAP and guidelines before the first session and understand and agree to follow all content. You also understand that this swim block sessions are not coached and any advice or plan is a suggested set to enable group trianing dynamics. Signing in and out is required for each session to conform to leisure centre regulations. Any coaching provided seperatley to the session is not part of the set. If changes have been made to which part of the pool is for set and coaching these will be briefed at the begining.

Your Details

Title

Mr Miss Mrs Ms Dr

Name

Date Of Birth

Email

Emergency Contact

Emergency Contact Number

Please list any relevant medical infromation /(In confidence)

Question

Please list an previous swim experience / relevant information and examples of pace (eg. race or 400m time)

What would you hope to gain most form the sesion? Please select an option Social Fitness Improvment Confidence

Send