Infant Submersion – Shrimp and Sibling Booking Form

IMPORTANT: This form is for booking siblings onto a Little Dolphins Shrimp swimming course AND an Infant Submersion class.

The discounted cost for swimming one new swimmer (Shrimp) and one Infant with Little Dolphins is £184.70 per 10-week course.

Your Name (required)

1st Child's Name (required)

1st Child's Date of Birth YYYY-MM-DD(required)

2nd Child's Name (required)

2nd Child's Date of Birth YYYY-MM-DD(required)

Address (required)

Home phone number (required)

Mobile number (required)

Your Email (required)

I would like to book Child 1 onto the Infant Submersion Shrimp class at

I would like to book Child 2 onto the Infant Submersion class on
[group Minnow][/group]
[group Seal][/group]
[group Dolphin][/group]
[group Shark][/group]

I am happy for photographs to be taken of my child/ren for use on;
Little Dolphins website YesNo
Promotional material including adverts and banners YesNo

Infant Submersion Classes

Infant Submersion classes are available at the following locations.

The Aquasport Scuba Centre
Solihull
Tuesday at 10am, 10:30 and 11am

Kings Hawford School
Sunday at 8:25am, 8:55am, 9:25am and 9:55am

Franche Primary School
Monday at 10:45am, 11:15am, 11:45am and 12:15pm
Thursday at 9:15am and 9.45am
Saturday at 3:30pm

Wyre Forest School
Wednesday at 4:05pm, 4:35pm and 5:05pm

Whitehouse Hotel Worcester
Fridays 10:15am, 10:45am, 11:15am, 11:45am,12:15pm, 12:45pm

Location details…

Infant Submersion – Shrimp and Sibling Booking Form

Infant Submersion Classes

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