SWIMMING LESSONS ENROLMENT FORM Step 1 of 5 - Swimmer & Medical Details 0% Swimmers DetailsRequired*TitleFirst NameSurnameDate Of BirthPrevious ExperienceMedical InformationChosen Class (please state Day/Time/Venue Please SelectMrMrsMasterMissMsOther To help you complete the information above, please read the following: Date of Birth Please enter the 'Date of Birth' of the person taking swimming lessons in the following format: 00/00/00. Medical Information Please detail any important medical information that we need to know about you, your child or children. Let us know about any allergies, medical conditions for example: asthma, epilepsy, orthopedic problems, any current medication and or any Injuries If you or your child/children you are registering above do not have any medical issues, please state 'N/A' in the Medical Information Field(s) above. Chosen Class Please input the information in the above field as per the email that was sent to you from us after your initial enquiry. If a class is not suitable/available please input 'Put on Waiting List'. Contact Details:Fields highlighted by a 'Red Asterisk' below are mandatory and need to be completed.Address Line 1:* Address Line 2: Address Line 3: City: County: Post code:* Contact Phone Number:*Contact Email:* Parent/Carer/Guardian Name (If Applicable)If you are an adult swimmer applying for lessons you do not have to input your name below as you supplied it on the previous page. If you are a Parent/Carer/Guardian registering a child/children for lessons please input your name. First Name Surname Photography ConsentThe Star Swimming Academy Limited may wish to take photographs of individual and/or groups of members under the age of 18 that may include your child during their membership of the Star Swimming Academy Limited. All photographs will be taken and published in line with the ASA Photography Guidance. The Star Swimming Academy Limited requires parental consent to take and use all photographs. Please note: Parents, Carers and Guardians along with the child have a right to refuse agreement to their child or the child themselves being photographed. Additionally you can withdraw your consent in writing to the us at any time, should you wish toCan the Star Swimming Academy Ltd take photographs to use on our website:*Please SelectConsent GivenConsent RefusedCan the Star Swimming Academy Ltd take photographs to use on our social networking sites:*Please SelectConsent GivenConsent RefusedCan the Star Swimming Academy Ltd take photographs to include with newspaper articles:*Please SelectConsent GivenConsent RefusedCan the Star Swimming Academy Ltd take videos for training purposes only:*Please SelectConsent GivenConsent RefusedEmploy a professional photographer (approved by the Star Swimming Academy Ltd):*Please SelectConsent GivenConsent Refused Terms & ConditionsThe following 'Terms and Conditions' need to be agreed before we can accept and process this enrolment form. A copy of these Terms and Conditions can be found on our web site and will be sent to you prior to the swimming lessons being commenced. By commencing lessons with Star Swimming Academy Ltd, you agree to be bound by the following terms and conditions: Before the commencement of your child’s swimming lesson and after the swimming lesson has finished, you are responsible for your child. b. During your child’s swimming lesson, the Star Swimming Academy instructor will be responsible for your child, though please stay in the parent’s waiting area to supervise your child on bathroom breaks etc. as required, regardless of the age of your child. You must ensure that your child does not enter the pool hall and under no circumstance should your child enter the pool until instructed to do so by the Star Swimming Academy instructor. Please ensure that your child does not run or play on poolside before or after your child’s class. You are responsible for your child within the changing rooms, please do not leave children unattended in the changing rooms. Long hair must be tied back or held within a swim cap. A towel or hooded towel should be ready to wrap your child in at the end of each lesson. Children should avoid having food immediately before their class. If your child is hungry before their swimming class then a small healthy snack is permissible, though please note that vomiting in the pool will result in cancelled classes due to pool evacuations. Food is prohibited within the pool hall. Children must not attend lessons for a minimum of 48hrs after suffering from vomiting or diarrhoea. Swimmers suffering from chest, ear or eye infections should not swim until they have completely cleared. Participants are not permitted to swim with any infectious ailments such as chickenpox or whooping cough until the infectious period has definitely finished. All babies/toddlers who are not potty trained must wear swim nappies. Star Swimming Academy has a double nappy policy for our parent and child classes where your child must wear a nappy cover over their disposable swim nappy. All garbage must be disposed of appropriately including swim nappies etc. You are at risk of losing your space in the class if you fail to pay your course fees when notified. Payment should be made either by cheque or bank transfer. Star Swimming Academy does not operate a policy of lesson credits or refunds for children who fail to attend their classes. If a class is missed for an unavoidable or unexpected reason, please speak to us and where we can we will offer a goodwill catch up class during the same term if possible. Star Swimming Academy does not offer refunds for swimming training services. In exceptional medical circumstances in which a valid doctor’s certificate must be provided, refunds may be granted. Fees paid to Star Swimming Academy in respect of swimming training services comprise 30% administration and business costs and 70% tuition fee. In the event of a refund being awarded only the tuition fee will be refunded on a pro-rata basis for the remainder of the payment term from the date that the refund was requested. Please confirm that you have our Terms & Conditions and agree to abide to to them at all times.*Yes - I have read the Terms & Conditions and agree to abide to them at all times. Formal ConsentNearly there, there is just a couple of final steps before submitting the form!The Star Swimming Academy Ltd is the data controller. We will use the data you provide in accordance with GDPR for the purpose of administering your child’s participation in our swimming lesson programme. The lawful basis for processing your data for this purpose is the performance of a contract. To continue with this enrolment form and to be able to submit it, you must confirm that you have read and understood our privacy policy.*Please ConfirmYes - I have read the Star Swimming Academy Ltd Privacy PolicyYour Name* First Name Surname Date*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920