Spring 2019 FREE Family Fun Swim for children & young people with disabilities and their families Please answer all the questions below and return to [email protected]Or print off, complete and return by post to: Tommy George, Active Communities Edinburgh Leisure, Vantage Point 3 Cultins Rd Edinburgh, EH11 4DF Each swim session lasts for 45 minutes, please arrive at least 15 minutes prior to your session to allow adequate time for your family to change prior to entering the pool. Please indicate below all the session(s) which you are interested in attending: Feel free to indicate your availability for multiple times on multiple days – we will aim to fairly allocate as many sessions as possible to families interested in taking advantage of these sessions Demand for this service has been very high, with many requests for each available space – please try to remember that for every swimming space that you have been allocated there are another 5 people who have requested that same space. Please only request sessions which you intend to use. Please return all completed forms by 5pm Monday 28th January 2019 – We will inform families of allocated spaces as soon as possible Parent/Carer Name Parent/Carer Phone No. Parent/Carer Email No of Adult Swimmers No of Child Swimmers Postal Address
Transcript
Spring 2019 FREE Family Fun Swim
for children & young people with disabilities and their families
Please answer all the questions below and return to [email protected]
Or print off, complete and return by post to:
Tommy George, Active CommunitiesEdinburgh Leisure, Vantage Point3 Cultins RdEdinburgh, EH11 4DF
Each swim session lasts for 45 minutes, please arrive at least 15 minutes prior to your session to allow adequate time for your family to change prior to entering the pool.
Please indicate below all the session(s) which you are interested in attending: Feel free to indicate your availability for multiple times on multiple days – we will aim to fairly allocate as many sessions as possible to families interested in taking advantage of these sessions
Demand for this service has been very high, with many requests for each available space – please try to remember that for every swimming space that you have been allocated there are another 5 people who have requested that same space. Please only request sessions which you intend to use.
Please return all completed forms by 5pm Monday 28th January 2019 – We will inform families of allocated spaces as soon as possible
Parent/Carer Name
Parent/Carer Phone No.
Parent/Carer Email
No of Adult Swimmers No of Child Swimmers Postal Address
Postcode
Names of all Swimmer(s) (Adults and Children) Date of Birth
Please mark all the session(s) which you are interested in attending with an X
Saturday 2nd Feb ☐9.15am ☐10.30am ☐11.45am ☐ 01.30pm ☐ 02.45pm
Saturday 9th Feb ☐9.15am ☐10.30am ☐11.45am ☐ 01.30pm ☐ 02.45pm
Saturday 16th Feb ☐9.15am ☐10.30am ☐11.45am ☐ 01.30pm ☐ 02.45pm
Saturday 23rd Feb ☐9.15am ☐10.30am ☐11.45am ☐ 01.30pm ☐ 02.45pm
Saturday 2nd March ☐9.15am ☐10.30am ☐11.45am ☐ 01.30pm ☐ 02.45pm
Saturday 9th March ☐9.15am ☐10.30am ☐11.45am ☐ 01.30pm ☐ 02.45pm
Saturday 16th March ☐9.15am ☐10.30am ☐11.45am ☐ 01.30pm ☐ 02.45pm
Saturday 23rd March ☐9.15am ☐10.30am ☐11.45am ☐ 01.30pm ☐ 02.45pm
Saturday 30th March ☐9.15am ☐10.30am ☐11.45am ☐ 01.30pm ☐ 02.45pm
Saturday 6th April ☐9.15am ☐10.30am ☐11.45am ☐ 01.30pm ☐ 02.45pm
Saturday 13th April ☐9.15am ☐10.30am ☐11.45am ☐ 01.30pm ☐ 02.45pm
Saturday 20th April ☐9.15am ☐10.30am ☐11.45am ☐ 01.30pm ☐ 02.45pm
Saturday 27th April ☐9.15am ☐10.30am ☐11.45am ☐ 01.30pm ☐ 02.45pm
Please use the space below to provide as much information about your child as possible:
Behaviour management: Does your child experience mood swings, tend to get over excited or react to specific situations/circumstances/noises?
Mobility and travel: Does your child have any mobility difficulties? Do they require any aids or the use of a wheelchair?
Medical conditions: Please give details of any medical conditions your child has.
Speech and communication: How does your child communicate? Do they use gestures, sign language? What are their most common words? How much do they understand?
Does your child require the use of a hoist to access the pool?
Yes ☐
No ☐
Which School does your child attend?
If your child has been swimming before, where did this happen?On Holiday ☐ Lessons ☐ Through School ☐ With parent/carer ☐Other:
If any, what is the main barrier that is stopping you and your child from swimming more? Too expensive ☐ Venue is too far away ☐ No suitable lessons ☐Lack of Time ☐ Lack of confidence ☐ Other:
Edinburgh Leisure Privacy NoticeYour privacy is important to us.
Edinburgh Leisure is the Data Controller and we will only use your data to enable us to deliver and improve our service to you and process your payments where appropriate.
How would you rate your child’s swimming ability?No experience ☐Limited mobility in the water, not confident and nervous ☐Limited mobility in the water, somewhat confident but happy ☐Good mobility in the water with support and happy ☐Good mobility in the water, can swim independently and happy ☐
How often does your child go swimming?More than once a week ☐ Every couple of weeks ☐Monthly ☐ Few times a year ☐Never ☐
We will never sell your data and we will only keep your data for as long as necessary to deliver our services and processes.There’s more detail in our privacy notices on our website or contact us on [email protected] or 0131 458 2100.
