Penguins Lessons Membership Form
In order to register your interest or to complete a registration for our lessons programme, please submit the following Membership Form, one per child enrolled. This will enable us to process the enrolment, and you will receive an email detailing appropriate booking options for those who have not made a booking, or confirming your booking choice for those who have already decided. 

For additional information or any queries you may have, please write to lessonsadmin@wcpsc.org.uk

https://www.wcpsc.org.uk

We look forward to seeing you poolside soon!
Sign in to Google to save your progress. Learn more
Parent First Name *
Parent Surname *
Address *
City/Town *
Postcode *
Primary Contact Number *
Secondary Contact Number (if applicable)
Primary Email Address *
Secondary Email Address (if applicable)
Child First Name *
Child Surname *
Child Date of Birth *
MM
/
DD
/
YYYY
Child Gender *
Approximate Starting Ability *
Preferred Day(s) *
Required
Previous Swimming Experience (any additional notes)
Please indicate how you heard about us - we would love to know! *
Please enter the name of the friend who referred you. 
Winchester City Swimming Club may occasionally photograph Lessons swimmers during sessions, for use in social media and marketing or staff training materials. 

Please tick the below box if you wish to withdraw your child from any photographs.  

Please leave the below box unticked if you consent to your child featuring. 
Promotional Code (if applicable)
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Winchester City Penguins Swimming Club.

Does this form look suspicious? Report