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Medical and Health Questionnaire
Please only complete this form once you have been offered a space by a member of the Watford Swim School team and you have read our Terms & Conditions
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* Indicates required question
Swimmer first name
*
Your answer
Swimmer second name
*
Your answer
Swimmer date of birth
*
MM
/
DD
/
YYYY
Swimmer Gender
*
Male
Female
Non-Binary
Prefer not to say
Other
Other:
2nd Swimmer first name
Only required if there is a second swimmer within the same household
Your answer
2nd Swimmer second name
Only required if there is a second swimmer within the same household
Your answer
2nd Swimmer date of birth
Only required if there is a second swimmer within the same household
MM
/
DD
/
YYYY
2nd Swimmer Gender
Male
Female
Non-Binary
Prefer not to say
Other
Other:
Clear selection
Medical Conditions or Disabilities
If none, please state none. If your or your child's circumstances change please ensure that you update us.
Your answer
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