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Phoenix - Waiting List Application
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Swimmers Name:
Your answer
Date of Birth
MM
/
DD
/
YYYY
Brief description of the swimmer's disability:
Your answer
Can you tell us about the things they may need additional support with, please include any physical, cognitive or communication needs.
Your answer
Please tell us a little about any previous swimming experiences, e.g. lessons /clubs attended and what level and distances were achieved. What strokes are they are able to swim?
Your answer
Please supply a little information about the swimmers learning style . Are they able to follow a training set for a minimum of 45 minutes ? What is the most effective communication method (s) to ensure they get the best out of the session.
Your answer
Please can you tell us about the swimmer's aspirations at Phoenix.
Your answer
Parent or Guardians Name (s)
Your answer
Contact email address
Your answer
Contact Telephone number
Your answer
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