Book Class

Please use the form below to book group and private lessons. Once you’ve submitted your booking request, we will be in touch to confirm your booking.

For groups, please email info@nfsa.co.uk or call 07966 571938 to arrange and book your class.

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Name *

Layout

Email *

Phone *

Who's is taking part in the swimming?

• Me (Adult)
• Child

Childs Name *

Layout

Swimmers Date of Birth *

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Gender *Select GenderMaleFemalePrefer Not To Say

Relationship To Child *

Emergency Contact Number *

Please select the category that best describes the swimmers ability: *Select Swimmers AbilityNon-SwimmerBeginnerIntermediateAdvanced

Has the swimmer had swimming lessons before and if so, what stage did they achieve? (If you are unsure of the stage awarded, please give an indication such as swims with arm bands, 5m or 25m badge.) *

Does the swimmer have any fears or barriers that may affect their swimming lessons? *

Does the swimmer have any special needs that impact on their session? *

Booking Session *Select Day SessionMonday Evenings: 5:30pm - 7:30pmWednesday Evenings: 5:30pm - 7:30pmSaturday Mornings: 7:00am - 10:00am

Have you got a discount code? *

• Yes
• No

Discount Code *

• Ballard Pupil = 10%
• Durlston Pupil = 10%
• Sibling x 2 = 10%
• Sibling x 3 = 15%
• Sibling x 4 = 20%
• Repeat Swimmer = 10%
• Other

Enter Discount Code *

Health Questionnaire – Physical Activity Readiness Questionnaire (PARQ Form)

Has your doctor ever said that your child has a heart condition and that your child should only do physical activity recommended by a doctor? *

• Yes
• No

Does your child ever experience chest pain during physical activity? *

• Yes
• No

Does your child lose their balance because of dizziness or ever lose consciousness? *

• Yes
• No

Does your child have a bone or joint problem that could be made worse by a change in physical activity? *

• Yes
• No

Does your child have asthma and require an inhaler? *

• Yes
• No

Is your doctor currently prescribing any medication for your childs blood pressure or heart condition? *

• Yes
• No

Has your child ever had any pain or injuries (ankle, knee, hip, back, shoulder, etc.)? *

• Yes
• No

Please explain your child's pain or injuries further. *

Does your child have any allergies such as stings and require an auto injector for food allergies? *

• Yes
• No

Please explain your child's allergies further. *

I have read and agree to the New Forest Swim Academy terms of service, available to read at www.nfsa.co.uk/terms *

• Yes

Submit Booking Request

Other Ways To Book!

If you would prefer to speak to us regarding class bookings, you can do so by phone or email:

07966 571938‬
info@nfsa.co.uk