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Are you/they currently having swimming lessons?	Yes No
Are you interested in weekly Intensive one-to-one lessons?	Yes No
Have you/they done swimming lessons before?	Yes No
If yes with or without armbands?	Yes No
Do you have family or friends also interested that you would like us to contact?	Yes No
If so, complete their details and we will contact them.	Name: Telephone: Email:

Enquire

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