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Children Registration Form
Dolphin Swim School
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* Indicates required question
Email
*
Your email
Parents Name
*
Your answer
Primary Phone Number
*
Your answer
Home Address
*
Your answer
Please select your preferred Class
*
Saturday Morning Class - Lekki
Saturday Morning Class - VI
Saturday Morning Class - Ikeja
Tuesday & Thursday Evening Class - Lekki
Tuesday & Thursday Evening Class - VI
Saturday Morning Class - Surulere
Name of Child -1
*
Your answer
Age of Child
*
Your answer
Has your Child had swim lessons before?
*
Yes
No
Maybe
Please choose your child's level
*
Beginner - The child has little or no skill in swimming or water confidence.
Upper Beginner - The child has some sort of swimming experience & water confidence.
Intermediate - The child can swim comfortably, however needs to improve or learn new strokes.
Advanced - The child can swim 2 or 3 strokes however needs help fine-tuning technique, building endurance & learning tricks of being faster.
Does your Child have any medical conditions / have special needs or any developmental delays that we should be aware of?
*
Yes
No
Please state the specific condition or medications the child is on
*
Your answer
Does your Child have any respiratory conditions that may be aggravated by swimming / water?
*
Yes
No
Please share details
*
Your answer
Name of Child -2
Your answer
Age of Child -2
Your answer
Has your Child had swim lessons before?
Yes
No
Maybe
Clear selection
Please choose your child's level
Beginner - The child has little or no skill in swimming or water confidence.
Upper Beginner - The child has some sort of swimming experience & water confidence.
Intermediate - The child can swim comfortably, however needs to improve or learn new strokes.
Advanced - The child can swim 2 or 3 strokes however needs help fine-tuning technique, building endurance & learning tricks of being faster.
Clear selection
Does your Child have any medical conditions / have special needs or any developmental delays that we should be aware of?
Yes
No
Clear selection
Please state the specific condition or medications the child is on
Your answer
Does your Child have any respiratory conditions that may be aggravated by swimming / water?
Yes
No
Clear selection
Please share details
Your answer
Name of Child -3
Your answer
Age of Child -3
Your answer
Has your Child had swim lessons before?
Yes
No
Maybe
Clear selection
Please choose your child's level
Beginner - The child has little or no skill in swimming or water confidence.
Upper Beginner - The child has some sort of swimming experience & water confidence.
Intermediate - The child can swim comfortably, however needs to improve or learn new strokes.
Advanced - The child can swim 2 or 3 strokes however needs help fine-tuning technique, building endurance & learning tricks of being faster.
Clear selection
Does your Child have any medical conditions / have special needs or any developmental delays that we should be aware of?
Yes
No
Clear selection
Please state the specific condition or medications the child is on
Your answer
Does your Child have any respiratory conditions that may be aggravated by swimming / water?
Yes
No
Clear selection
Please share details..
Your answer
How did you hear about our Swim School?
Website
Friend
Instagram
Facebook
Clear selection
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