Contact Us

Please fill in the form below and we will contact you as soon as possible.

Full Name*

Main contact number*

Other contact number

Best time to call*
MorningsAfternoonsEvenings

Your Email*

Confirm Email address*

Address 1*

Address 2

Town/City*

County*

Post Code*

A Little Bit About Your Child & Water Confidence

Childs Full Name

Childs Date of Birth / Due Date *

How confident are you in the water? 1 = not confident, 10 = very confident

12345678910

How confident is your child in the water? 1 = not confident, 10 = very confident

12345678910

Any additional information:

How did you hear about Little Dolphins?*
ParentwiseNCTsmall step magazinefamilies Hereford and Worcester magazine
FlyerWord of mouthFacebook

Your Message

Do you give Little Dolphins permission to contact you via; (please select all that apply)*
PhoneTextFacebookPostEmail
*You may opt out at a later date by contacting Little Dolphins.

Your information is NOT passed on to any 3rd party!

or you can contact us using the information below;

Gemma Dickens,
66 Hurcott Road,
Kidderminster,
Worcestershire.
DY10 2QJ

Mobile: 07805 001405

Gift Vouchers now available!

gift-voucherYou can now purchase Little Dolphins Gift Vouchers. Please contact Gemma for more information.