EmailMe Form - Great Arley Primary School

Swimmer Name *

First Last

Has Your Swimmer Had Lessons Before? *

IF yes -Please select the most recent badge/stage they attained. If you can't remember or are unsure - please select 'Not Sure' *

Has your swimmer ever had a negative experience of water/lessons or has any anxiety toward swimming lessons/water? *

IF your swimmer has any anxiety or experienced negative situations in water/lessons please describe as accurately as possible your swimmer's experience and potential concerns you or they may have? Please leave blank if not applicable.

If non please state - N/A

Medical considerations: Does your swimmer require medication or special considerations towards a medical condition which may be effected by exercise? *

If non - Please State N/A

Additional Needs: Does your swimmer require further assistance or specific considerations towards any additional needs to enhance their ability to process instructions or perform physical actions? *

If non - Please state N/A

Photography: Great Arley provide photography for educational purposes to monitor progression & learner engagement. If you consent to your learner having pictures/video being taken, please state 'Yes' if you do not consent, please state 'No'. *

All images/videos taken are protected by GDPR protocol & not available on any shareable platform

I am happy for my swimmer to attend swimming lessons beginning in 2024/25. *

Parent/Guardian Email Address *

Today's Date *

DD / MM / YYYY