Request a Free Trial

Child's Full Name *

Child's Date of Birth *

Parent / Guardian Full Name *

Email Address *

Address including postcode *

Contact Telephone Number *

Emergency Contact Name *

Emergency Contact Telephone Number *

Relationship to Emergency Contact *

Any medical conditions we might need to be aware of?

Which would be your preferred pool? *

Preferred day of the week to swim?

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Consent for storing submitted data *

Yes, I give permission to store and process my data I agree to the Puddle Ducks Privacy Policy. (This allows us to contact you regarding your enquiry and Puddle Ducks products and services. We will never pass your data to a third party. You can choose to unsubscribe at any time either through links at the bottom of the emails we send you or by telling us over the phone or by email.)

Request a Free Trial

Lesson Request

What our customers think