Swimming at Ladywood Leisure Centre 13th December

13th December 12-1PM

Hosted by Roadmap SEND Support Group at Ladywood Leisure Centre in Ladywood.

This event is for SEND children in Birmingham, aged 4-16, and their siblings. Young people must be accompanied by an adult (a responsible adult may supervise up to 2 children).

It costs £2.50.

If you’re interested, please enquire about a place by filling in the form below.

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Young Person's Name *

First

Last

Date of Birth *

Gender *--- Select Choice ---FemaleMaleOtherPrefer not to say

Young Person's Club Membership Number *

Enter your Fit for All Club membership number. If you haven't registered yet, then go to Sign Up. If you have lost your number, then go to Send a Reminder.

SIGN UP to register as a member of the Fit for All Club for the first time. This takes a few working days.

SEND A REMINDER if you already signed up but have lost your Membership Number and need a reminder of it. This usually takes less than a working day.

Responsible Adult's Name *

Mobile number *

Email *

We would like places at this event/club *--- Select Choice ---Air Nation Soft Play (10.12)Stechford Leisure Centre Swimming (13.12)Cocks Moors Leisure Centre Swimming (13.12)Ladywood Leisure Centre Swimming (13.12)Bounce Mania Soft Play (20.12)Ackers Tobogganing and Tubing (21.12)

If you want to bring siblings or friends, how many?012

You can add up to 2 siblings or friends to this enquiry, but please note that numbers for Swimming and some other clubs may be limited to 1 sibling/friend AND that places are always limited!

Person Person Young

Name of Second Young Person *

First

Last

Date of Birth of Second Young Person *

Gender of Second Young Person *--- Select Choice ---FemaleMaleOtherPrefer not to say

Name of Third Young Person *

First

Last

Date of Birth of Third Young Person *

Gender of Third Young Person *--- Select Choice ---FemaleMaleOtherPrefer not to say

Submit