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):

    Gender:
    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:
    Day:
    Time:
    Wave:

    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.

    Disabilities

    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.


    Single Use Booking Form 2022

      The following form is for Single Use Bookings only. For our Block Booking form, please refer to our Block Booking Form here.

      Are you a constituted club, business, charity, organisation or event organiser?


      If you are not a constituted club, business, charity, organisation or event organiser, please contact site directly.

      Do you currently have a block booking with us?

      Contact Details

      Please ensure that all details are accurate, as we will use these details to contact you.


      Booking Details

      Which centre would you like to book?:

      Please indicate the nature of your booking by first selecting the centre below:

      Canolfan Hamdden Huw Jones

      Denbigh Leisure Centre

      Llangollen Leisure Centre

      NOVA Prestatyn

      North Wales Bowls Centre

      Prestatyn Leisure Centre

      Rhyl Leisure Centre

      Ruthin Leisure Centre

      St. Asaph Leisure Centre



      What date would you like for your booking? (required)

      Please ensure that you have read fully the Terms and Conditions (required)


      Payment Details

      Payment for Single Use bookings must be paid in advance at the time of booking. This can be done at site or over the phone. Cash payments incorporate debit and credit cards, cash and cheques.


      Safeguarding

      Please fill out the form fully and accurately - should you have any issues, please don't hesitate to contact us.

      Will your booking involve teaching/instructing/coaching other participants?
      YesNo


      Insurance and Risk Assessments

      If these apply to you, please provide all relevant information regarding your clubs / organisations insurance and whether or not any risk assessments are in place. If any of the above do not apply, then please answer 'N/A'.

      Risk Assessment In Place?
      YesNo

      Operating Procedure and Emergency Action Plan in Place?
      YesNo


      DBS & Qualification Checks

      DBS Certificate numbers must be provided for the booking to be processed unless all participants being coached/taught are 18 years or over, in which case please select the "Over 18's only" in the drop down menu below.

      If participants are under the age of 18, please select 'Checks Required'. Please list all persons who take an active part in the coaching, teaching and instructing of your club:

      How many coaches require DBS & Qualification checks?

      DBS Check 1



      Qualification in Place:




      DBS Check 2



      Qualification in Place:




      DBS Check 3



      Qualification in Place:




      DBS Check 4



      Qualification in Place:




      DBS Check 5



      Qualification in Place:




      DBS Check 6



      Qualification in Place:





      Further Information

      Any other relevant information we should be made aware of in regards to your booking:


      Confirmation
      Confirmation of DBS Checks
      Please confirm below that the details in the previous sections are correct and that all persons carrying out activity for the club / organisation are suitably qualified and DBS checked. I also acknowledge that the club / organisation are responsible for ensuring checks are undertaken and up to date. Failure to comply with this could result in use being withdrawn.
      Confirmation of No Tutition
      Please confirm below that your booking does not provide any coaching, teaching or instructing.
      Confirmation of 18 and Over Participants
      Please confirm below that booking does not provide any coaching, teaching or instructing, and does not have any under 18s present.



      Thank you for taking the time to complete the Denbighshire Leisure Block Booking Form. Should we require any additional information, we will contact you via the details provided.



      Block Booking 2022 Form

        Contact details

        Please ensure that all details are accurate, as we will use these details to contact you.

        Are you a Constituted Club?


        Booking Details

        Which centre would you like to book?:

        Please select the facilities you are interested in by selecting your chosen centre below:

        Canolfan Hamdden Huw Jones

        Denbigh Leisure Centre

        Llangollen Leisure Centre

        NOVA Prestatyn

        North Wales Bowls Centre

        Prestatyn Leisure Centre

        Rhyl Leisure Centre

        Ruthin Leisure Centre

        St. Asaph Leisure Centre



        What day are you interested in booking? (required)
        MondayTuesdayWednesdayThursdayFridaySaturdaySunday



        Frequency of Booking (required)
        (Please note : If there is an interval of more than two weeks between bookings then you are viable for VAT.)

        Please ensure that you have read fully the Terms and Conditions (required)


        Payment Details

        We offer two types of payment options – Weekly (at site in advance) or Monthly (by invoice in advance for Club/Organisations only)

        Cash Payment

        Cash payments incorporate debit and credit cards, cash and cheques. All cash bookings are required to be paid a week in advance at your local centre.

        Invoice Payment

        (Constituted Clubs Only) (Invoices are sent a month in advance of the booking. Club Bookings of 10 or more continual weeks are eligible for a 10% discount. To benefit from the 10% discount, please refer to the terms and conditions.

        Invoice Payment

        Please provide details of the Club Representative, who will be dealing with all the finances.





        Safeguarding

        Please fill out the form fully and accurately - should you have any issues, please don't hesitate to contact us.

        Will your booking involve teaching/instructing/coaching other participants?
        YesNo


        Insurance and Risk Assessments

        If these apply to you, please provide all relevant information regarding your clubs / organisations insurance and whether or not any risk assessments are in place. If any of the above do not apply, then please answer 'N/A'.

        Risk Assessment In Place?
        YesNo

        Operating Procedure and Emergency Action Plan in Place?
        YesNo


        DBS & Qualification Checks

        DBS Certificate numbers must be provided for the booking to be processed unless all participants being coached/taught are 18 years or over, in which case please select the "Over 18's only" in the drop down menu below.

        If participants are under the age of 18, please select 'Checks Required'. Please list all persons who take an active part in the coaching, teaching and instructing of your club:

        How many coaches require DBS & Qualification checks?

        DBS Check 1



        Qualification in Place:




        DBS Check 2



        Qualification in Place:




        DBS Check 3



        Qualification in Place:




        DBS Check 4



        Qualification in Place:




        DBS Check 5



        Qualification in Place:




        DBS Check 6



        Qualification in Place:





        Further Information

        Any other relevant information we should be made aware of in regards to your booking:


        Confirmation
        Confirmation of DBS Checks
        Please confirm below that the details in the previous sections are correct and that all persons carrying out activity for the club / organisation are suitably qualified and DBS checked. I also acknowledge that the club / organisation are responsible for ensuring checks are undertaken and up to date. Failure to comply with this could result in use being withdrawn.
        Confirmation of No Tutition
        Please confirm below that your booking does not provide any coaching, teaching or instructing.
        Confirmation of 18 and Over Participants
        Please confirm below that booking does not provide any coaching, teaching or instructing, and does not have any under 18s present.



        Thank you for taking the time to complete the Denbighshire Leisure Block Booking Form. Should we require any additional information, we will contact you via the details provided.



        Change of Membership Form

          Please Note: If you wish to change your bank details please visit the centre to complete a new Direct Debit mandate.

          Membership details

          Please ensure that all details are accurate, as we will use these details to process your request.

          Required Changes

          What would you like to change? Please choose one of the options below.

          or

          Terms & conditions



          Membership Suspension Form

            Membership details

            Please ensure that all details are accurate, as we will use these details to process your request.

            Suspension details

            Terms & conditions

            If you wish to suspend your membership for a short period, please be aware of the following, which are part of your membership terms and conditions.

            • We require 10 days' notice, to enable us to suspend your membership.
            • The minimum period you can suspend your membership for is 1
              month.
            • The maximum period you can suspend your membership for is 3 months.
            • This 'Membership Suspension' form must be completed.
            • Following completion of this form, your membership will be suspended from your next payment date.
            • We will arrange to suspend your payments - please do not cancel your Direct Debit at the bank.

            Please note: Your membership will automatically reactivate following your agreed suspension period. If you do not want to continue your membership please contact the Leisure Centre.




            Membership Cancelation Form

              Membership details

              Please ensure that all details are accurate, as we will use these details to process your request.

              Cancellation details

              Would you be interested in re-joining us at a later date?

              Terms & conditions



              Generic Form Not Gymsales


                Block Booking Form

                  Contact details

                  Please ensure that all details are accurate, as we will use these details to contact you.

                  Are you a Constituted Club?


                  Booking Details

                  Which centre would you like to book?:

                  Please select the facilities you are interested in by selecting your chosen centre below:

                  Canolfan Hamdden Huw Jones

                  Denbigh Leisure Centre

                  Llangollen Leisure Centre

                  NOVA Prestatyn

                  North Wales Bowls Centre

                  Prestatyn Leisure Centre

                  Rhyl Leisure Centre

                  Ruthin Leisure Centre

                  St. Asaph Leisure Centre



                  What day are you interested in booking? (required)
                  MondayTuesdayWednesdayThursdayFridaySaturdaySunday



                  Frequency of Booking (required)
                  (Please note : If there is an interval of more than two weeks between bookings then you are viable for VAT.)

                  Please ensure that you have read fully the Terms and Conditions (required)


                  Payment Details

                  We offer two types of payment options – Weekly (at site in advance) or Monthly (by invoice in advance for Club/Organisations only)

                  Cash Payment

                  Cash payments incorporate debit and credit cards, cash and cheques. All cash bookings are required to be paid a week in advance at your local centre.

                  Invoice Payment

                  (Constituted Clubs Only) (Invoices are sent a month in advance of the booking. Club Bookings of 10 or more continual weeks are eligible for a 10% discount. To benefit from the 10% discount, please refer to the terms and conditions.

                  Invoice Payment

                  Please provide details of the Club Representative, who will be dealing with all the finances.





                  Safeguarding

                  Please fill out the form fully and accurately - should you have any issues, please don't hesitate to contact us.

                  Will your booking involve teaching/instructing/coaching other participants?
                  YesNo


                  Further Information

                  Any other relevant information we should be made aware of in regards to your booking:


                  Insurance and Risk Assessments

                  If these apply to you, please provide all relevant information regarding your clubs / organisations insurance and whether or not any risk assessments are in place. If any of the above do not apply, then please answer 'N/A'.

                  Risk Assessment In Place?
                  YesNo

                  Operating Procedure and Emergency Action Plan in Place?
                  YesNo


                  DBS & Qualification Checks

                  DBS Certificate numbers must be provided for the booking to be processed unless all participants being coached/taught are 18 years or over, in which case please select the "Over 18's only" in the drop down menu below.

                  If participants are under the age of 18, please select 'Checks Required'. Please list all persons who take an active part in the coaching, teaching and instructing of your club:

                  How many coaches require DBS & Qualification checks?

                  DBS Check 1



                  Qualification in Place:




                  DBS Check 2



                  Qualification in Place:




                  DBS Check 3



                  Qualification in Place:




                  DBS Check 4



                  Qualification in Place:




                  DBS Check 5



                  Qualification in Place:




                  DBS Check 6



                  Qualification in Place:




                  Confirmation
                  Confirmation of DBS Checks
                  Please confirm below that the details in the previous sections are correct and that all persons carrying out activity for the club / organisation are suitably qualified and DBS checked. I also acknowledge that the club / organisation are responsible for ensuring checks are undertaken and up to date. Failure to comply with this could result in use being withdrawn.
                  Confirmation of No Tutition
                  Please confirm below that your booking does not provide any coaching, teaching or instructing.
                  Confirmation of 18 and Over Participants
                  Please confirm below that booking does not provide any coaching, teaching or instructing, and does not have any under 18s present.



                  Thank you for taking the time to complete the Denbighshire Leisure Block Booking Form. Should we require any additional information, we will contact you via the details provided.



                  original news with tweaks
                  list layout with thumbnail

                  On the original layout, by giving the articles a slightly different background colour it boxes them off, which has the effect of making you understand the layout, they dont look higgledy-piggledy any more, you can see that they are more like bricks in a wall, like a masonary layout.

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