Garvz Swim Academy

Child's Information

Child's Surname*

Child's First Name*

Gender*

Male
Female

Date of Birth

Childs Age*

Grade in 2025*

School*

Does your child attend aftercare?*

Yes
No

Is your child water safe?*

Yes
No

Booking for Training Day & Time Slot

We will contact you regarding available days and times based on information supplied above.

Contact Information

Primary Contact's Name*

Primary Contact's Cell*

Primary Contact's Email*

Alternative Contact's Name

Alternative Contact's Cell

Alternative Contact's Email

Medical Information

STRICTLY PRIVATE AND CONFIDENTIAL - Medical information will be kept confidential by Garvz Swim Academy. Information regarding any condition confirmed in this questionnaire may be forwarded to the relevant Coach if it is deemed to be important for the child's health and safety at Garvz Swim Academy.

Does your child have any medical problems we should be aware of?*

Yes
No

Please supply further details

If you have answered 'Yes' to the above question, please supply further details.

I give/do not give my permission for photos to be taken of my child and to be used for social media purposes.*

Yes, I do give permission
No, I don't give permission

Terms & Conditions*

I Agree

I hereby agree that the above information is true and that there are no other conditions that I am aware of that may affect my child from training at Garvz Swim Academy. I also agree to inform the Coach of any illness, condition or injury that may occur hereafter.

Indemnity*

I Agree

I hereby waiver any claim, which I may have against Garvz Swim Academy, for any damages or bodily injury howsoever arising and whether occasioned by negligence, or willfulness on the part of anyone, sustained by any person, which may arise from or in the course of the tuition by the said Garvz Swim Academy or on the premises. This waiver is unconditional and given both in the capacity as a father/mother or natural/legal guardian of any minor concerned.