Goactive St.Helens

Name *

Address *

Postcode *

Email *

Phone *

Learner's name *

Learner's Date of Birth *

Which of our pools do you prefer? * Please choose a facility you are enquiring about

Can the learner swim without the use of swimming aids?

Has the learner already had lessons? *

If they have had lessons, what stage are they at?

How did you find out about swimming lessons with us?

If you were referred to us, please share the person's name

Medical conditions If the learner has any medical conditions, please specify

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Go Active Swimming Enquiries

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