e.g. 01/10/2011

e.g. 1 The Street, Strood ME0 0YY

Please enter YES or NO

H20 Adult Swimmer Form

All information provided is treated with the utmost confidence and only shared with those members of h20 to whom it is necessary to know.  All information is held securely and we appreciate that any medical information will be updated by parents should the need arise.

Data is NOT shared with any third party companies.

Thank you, your completed form has been sent to H20 Swim Fitness Ltd.