Please read our Policy Guidelines before completing the consent form below.
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As the Parent/ Guardian for the child listed above, I give my consent for him/her/them to participate in a swimming programme with Learn to Swim with Chris Viero Swim School, and agree to delegate my authority to the staff and instructors involved.
Such staff and instructors may take whatever disciplinary action they deem necessary to ensure the safety, wellbeing and successful conduct of the students as a group or individually in the above-mentioned activity.
I also authorise the staff and instructors to obtain medical assistance which they deem necessary should an accident occur, and agree to pay all medical expenses incurred on behalf of the above student.
I submit the preceeding medical information about the above student and include details of limitations which he/she has for the activity concerned. I further authorise qualified practitioners to administer anaesthetic if such eventuality arises.
I have read the policy on children being photographed by an instructor at the Swim School and hereby give my consent to have my child/children photographed in the pool.
I have read the attached Swim School Policies Booklet and I am aware of the programme for which my consent is requested.
DOB
Allergies (particularly Bee-Sting etc)
Breathing Disorder (particularly Asthma)
Ear Disorder (particularly Drainage Tubes or Deafness)
Epilepsy (Mild or Severe)
Fainting/ Dizzy Spells (or other Loss of Consciousness)
Other Relevant Information
By checking this box you agree that you have read our policy guidelines, the information you have provided is true and correct and that this constitutes your electronic signature of this form.