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Please complete the application form below. Please note that this application form is for After School children wishing to attend Perth Leisure Pool swimming lessons ONLY.

Once complete, the form will be sent to our swim team who will add your child onto our waiting list. In due course, our swim team will be in touch.

If you have more than one child to add to our waiting list, a request form must be completed for each child.

Child's Name:(*)

Please enter a name.

Please enter the name of the child who will be attending the lesson.

Child's Date of Birth (DD/MM/YYYY):(*)

Invalid Input

Mobile Number:(*)

Please enter a valid phone number.

Email Address:(*)

Please enter a valid email address.

House Number(*)

Invalid Input

Postcode(*)

Invalid Input

Data Protection

The information provided by you, about you and your child on this form, will only be used for the purposes of applying for a Swimming Lesson space. We are committed to complying with the General Data Protection Regulation and the Data Protection Act 2018. For further information on how we process personal data, please see our privacy policy available on our website.

Swim Lesson Application Form - After School - Perth Leisure Pool

Data Protection