Bookings

In Water Experience Bookings

Primary Contact (must be over the age of 18)

First Name

Last Name

Phone

Emergency Contact

Full Name

Phone

Group Participants (up to 12, includes Primary Contact)

Participant 1

Full Name

Age

Does this participant have any medical conditions we should know about?

Does this participant have any accessibility requirements?

Can this participant swim without help?

Does this participant feel uncomfortable or ever been scared or worried around water? (If yes, please explain)

Whole Group Questions

Do you (or anyone in your group) have any cultural or religious beliefs we should consider before your session? (e.g. females only in the pool at that time slot)

What is the primary language spoken at home?

Do you have a preference on the gender of your instructor? (e.g. Female, Male or don't mind)

What do you (or your group) want to achieve with this session? (e.g. feeling safer, being comfortable with children in the pool, building water confidence)

Do you want to be grouped with another family or group? (If yes, please provide their name)

I have read and agree to the terms and conditions (link opens in new tab)