Cheshunt Swimming Club Easter Holiday Crash Course Booking and Payment Form. ONE FORM PER SWIMMER.
30th March 2026 to 2nd April 2026
Swimmers Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
-
Day
-
Month
Year
Date
Does your child have any specific medical conditions requiring medical treatment and/or medication?
*
Yes
No
If Yes, please give details.
Does your child have any allergies?
*
Yes
No
If Yes, please give details.
Does your child take any regular medication?
*
Yes
No
If Yes, please give details.
Any other relevant information?
Please also give details of any difficulties the swimmer may have that may affect swimming such as Dyspraxia, Dyslexia, Autistic Spectrum Disorders or ADHD?
*
Yes
No
If Yes, please give details.
Parents Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Emergency Phone Number if different from above
-
Area Code
Phone Number
Crash Course Swimming
*
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One Child Crash Course Payment
Payment for 1 Child for 4 day Crash Course Swimming Lessons.
£
30.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Terms and Conditions
In compliance with the General Data Protection Regulation 25 May 2018, we will ensure that all information held by the club is accurate, kept up to date and secure and that it is used only in connection with the purpose and activities. We will hold the data for 3 years after your last contact or from when you leave the club and then any information will be destroyed. Information will be disclosed to those members of the Club/Swim England for whom it is appropriate and necessary. Swim England has registered with Data Protection on behalf of member Clubs, counties and regions, enabling them to hold personal data of members etc. Records are kept on computer/Swim Manager/iCloud platforms. Keeping information in this way enables us to run the club more efficiently. By signing the membership form you are consenting to Cheshunt SC holding your personal data for the purposes of this application as set out above and to give us permission to contact you. Please see our website for our GDPR privacy notice. I confirm that I have read all the clubs policies relating to swimmers and the club in the Swimmers Area of the club website www.cheshuntsc.co.uk and will abide by all the Club Rules & Codes of Conduct. I will also inform the club of any change of the above details. If completing this form on behalf of a swimmer under 18, I agree to inform them of their obligations under the Rules &Codes of Conduct of the club posted on the website. Being the parent/carer of the above named child hereby give permission for the Coach/Teacher or Team Manager to give the necessary authority on my behalf for any medical or surgical treatment recommended by competent medical authorities, where it would be contrary to my son/daughter’s interest, in the doctors medical opinion, for any delay to be incurred by seeking my personal consent. Photographs/Filming are taken from time to time for promotional use only i.e. website, flyers and press. In submitting this form you give your authorisation for these to be used unless you expressly tell us otherwise.
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