Learn to Swim ParQ Booking Form 2022

    Personal Details

    Please choose a centre for your lessons:

    Name (Required):

    Surname (Required):

    Leisure Card Number (Required):

    Date of Birth (Required):

    Address (Required):

    Postcode (Required):

    Mobile Number:

    Homephone Number:

    Email (Required):
    This will enable you to log onto the parent portal and access your child’s swimming lesson progress online. Please ask at reception if you require any more information.

    Currently Swims:

    Emergency Contact / Next of Kin Details

    Full Name (Required):

    Address (Required):

    Postcode (Required):

    Medical Details

    GP Details

    Full Name (Required):

    Address (Required):

    Telephone (Required):

    Medical Conditions

    Please record any medical conditions that may hinder your child’s performance e.g. Asthma.


    Do you consider your child to have a disability?
    If yes please record your child’s disability below and any additional information you feel we may require.

    Thank you for taking the time to complete the Denbighshire Leisure Learn to Swim ParQ form. Should we require any additional information, we will contact you via the details provided.

    Datganiad Preifatrwydd

    Bydd eich data personol yn cael ei ddefnyddio gan Hamdden Sir Ddinbych at ddibenion penodol rheoli eich aelodaeth, a sicrhau eich diogelwch tra ar hyn. Byddwn yn cadw hwn am gyfnod eich aelodaeth, ac am 3 blynedd ar ôl diwedd eich aelodaeth. Os ydych yn teimlo ein bod wedi cam-drin eich data personol ar unrhyw adeg gallwch wneud cwyn i Swyddfa’r Comisiynydd Gwybodaeth drwy ymweld â’u gwefan neu drwy ffonio eu llinell gymorth ar 0303 123 1113. Am ragor o wybodaeth am sut mae Hamdden Sir Ddinbych yn prosesu data personol a’ch hawliau gwelir ein hysbysiad preifatrwydd ar ein gwefan – https://denbighshireleisure.co.uk/privacy/

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