Adult Swimming Lessons

Booking Form April 2016

Please complete all shaded areas

Date
  1. Activity Details

Activity / Day/ Time / Dates / Cost / Y/N(please tick)
Non-Swimmer Group
Adult Swimming Lessons / Tuesdays 7.15-7.45pm / 19/04/16 – 28/06/16(Excludes 31st May) / £65
Beginner Group
Adult Swimming Lessons / Tuesdays 7.15-7.45pm / 19/04/16 – 28/06/16 (Excludes 31st May) / £65
  1. Participants Details

Name/s
Gender
Email
Contact No.
Address
Postcode
  1. Payment Details

Payments need to be made prior to the first session on 19th April 2016 to secure your place on the course. You can either provide your card details or select an alternative payment option below.

Cardholders Name
Card Type (please highlight) / MasterCard / Visa / Delta / Switch
Card No.
Valid From
Expiry Date
Switch Issue
Security No.

Alternative Payment Options

Please highlight which alternative payment option you prefer.

Card via Telephone / Card in Person / Cash in Person / Cheque
  • If you select to make payment by Card via Telephone please call 0208871 6373.
  • If you select to make your payment by Card, Cash or Cheque in Person please come to Hut 1, Wandsworth Town Hall, Wandsworth High Street, SW18 2PU.
  1. Terms and Conditions
  • Payment must be received before the course start date (19thApril 2016).
  • Payments are non-refundable, unless lessons are cancelled.
  • Bookings are not guaranteed until payment is received.
  • Places are allocated on a first come first serve basis.
  • Courses may be cancelled if a minimum number of bookings are not reached.
  • Registration forms must be completed before participating in any activity.
  1. Declaration

I confirm that I have readand agree to the above terms and conditions.

Full Name: ______

Signature: ______

Please return booking form to Sarah Brooks, Leisure and Sport Services, Enable Leisure and Culture. Email to or post to Hut 1, Wandsworth Town Hall, Wandsworth High Street, London, SW18 2PU