Customer Details and T&Cs Form

This registration form is only to be completed when bookings have been confirmed with reception staff for Fairmount pool

Please complete the below form to enable us to collect your information and confirm you have read and agreed to our terms and conditions.

"*" indicates required fields

Your Details

Parent/Guardian Full Name*

Childs Full Name*

Childs Date of Birth*

Lesson Day*

Lesson Time*

Home Address*

Home Phone

Mobile Phone*

Email*

Alternative Emergency Contact Mobile*

Does the child have any medical conditions, allergies or special needs?*

Yes

Medical Conditions, Allergies or Special Needs

Has the child gained any swimming badges from previous swimming lessons? (Not with Duck and dive swim school)*

Yes

Previously Gained Swimming Badges

TERMS & CONDITIONS

Please read the terms & conditions below and check the the box to confirm*

I have read and agree to the below terms and conditions.

Admissions

New customers may book on a course at any time and will pay only for the 4 weeks of the course.

All new customers must pay for the course prior to attending the first lesson.

Bookings are accepted by phone, and Re-Booking is preferred during Re-Booking week at the Pool, however if for whatever reason this is not possible then Re-Booking over the phone is acceptable and payment via post will be requested.

Existing customers have priority over lessons, and must rebook 1 weeks before the end the current course to ensure their place is saved. Failure to do this can result in the space being given to another participant.

Places are available on a first come first served basis.

Courses currently run over a 4-week period, and are renewed 2 weeks before the end of the current course.

Refunds & Cancellation Policy

If you wish to cancel your course of swimming lessons, we ask that you give us two weeks’ notice in writing. If you fail to give us 2 weeks’ notice, we reserve the right to charge you for two missed
sessions. I acknowledge any outstanding payments can and will be recovered by a collection company /factoring company

Duck and Dive Swim School is unable to refund or credit lessons which have been missed. (such as for illness, school, work, social commitments, or due to holidays or transportation difficulties)

If a customer needs to cancel the remainder of a course for medical reasons, then a written letter and a Doctors note will be required, and a full refund minus one week will be provided.

If the swimming pool is unfit for lessons, or has been closed by the School, then lessons will be credited onto the next course. However, Duck and Dive Swim School is unable to give cash refunds.

Parents will be notified of a pool closure as early as possible by phone call, text, email or social media

If a swimming instructor is absent and Duck and Dive Swim School cannot provide a replacement, then a lesson will be credited onto the next course.

Duck and Dive Swim School is not responsible if a customer is unable to find the swimming pool, arrives late, or at the incorrect time for any lesson.

Credits/Refunds will not be given in retrospective circumstances.

If due to severe weather conditions, we are not able to open please check the following:
Website: www.duckanddive.com
Facebook: Duck and Dive Shipley

Privacy Notice
Duck and Dive is collecting your information to fulfil its contract with you. Your information will be stored securely and will only be used by the staff and instructors employed by the Duck and Dive to plan lessons; contact you to let you know of changes to lessons and to chase for payment if required. Your information will not be given to any other individual or company.

First Aid
By signing this form, I give my consent for First Aid treatment to be given to myself or my child by
qualified staff, or for myself / child to be taken to hospital in an emergency.

Signature*

Please sign using your finger if using a smartphone / tablet or using your mouse/trackpad if using a desktop or laptop.