Swim-Safe

Request Enrollment

Request Swimming Lessons Enrollment

Thank you for choosing Swim-Safe! Complete the form below to submit your enrollment request. Our certified instructors are ready to help build confidence, skill, and water safety.

📋 Application Process

• Your application will be reviewed by our team within 2-3 business days
• We'll email you with class availability and next steps
• Enrollment is subject to space availability and approval

All lessons are 30-minute sessions with certified instructors in small class sizes

Enrollment Request Form

Who are you enrolling? *

Select who will be taking swimming lessons

How many learners are you enrolling? *

One learner — tap a higher number to add siblings.

Parent/Guardian Information

First Name *

Last Name *

Email Address * (Used for login)

Phone Number *

Home Address

ID Number

Emergency Contact

Contact Name

Contact Phone

Relationship

Learner Information (1/5)

👨‍👩‍👧‍👦 Enrolling siblings? Use the picker above to set the number of children, then fill in each block below. You can still add more later (up to 5).

Learner 1

First Name *

Last Name *

Date of Birth *

Gender

Swimming Experience

Why are you enrolling this learner?

Allergies (specific to this learner)

Medical Conditions (specific to this learner)

Current Medications (specific to this learner)

Special Requirements (specific to this learner)

Shared Medical Information (All Learners)

Note: Medical aid and doctor details apply to all learners. Individual health information was captured per learner above.

Medical Aid Information

Medical Aid Provider

Medical Aid Number

Medical Aid Plan

Doctor Information

Doctor's Name

Doctor's Phone

School Rules, Privacy & Data Protection

Protection of Personal Information (POPIA)

Your Privacy Matters: Swim-Safe is committed to protecting your personal information in accordance with South Africa's Protection of Personal Information Act (POPIA, Act 4 of 2013).

We collect only information necessary for swim school operations and your child's safety
Your data is stored securely and never shared with third parties without consent
You have the right to access, correct, or request deletion of your information at any time
Medical information is kept confidential and used only for safety purposes
We implement security measures to protect against unauthorized access

Swim-Safe School Rules

These rules ensure a safe, respectful, and joyful learning environment for all our swimmers.

👨‍👩‍👧 Supervision & Access

Children must be accompanied by a responsible adult to and from lessons
Only authorized staff and enrolled children may enter the pool area
Parents/guardians must remain outside the pool zone during lessons
No child may enter the pool without a qualified instructor present

🛟 Safety First

No running, pushing, dunking, or rough play in or around the pool
Diving is strictly prohibited unless explicitly taught by the instructor
Children must stay within their designated swim zones
No child may swim alone
Children feeling tired, dizzy, or unwell must exit the pool immediately
All injuries or accidents must be reported to staff immediately

🧼 Hygiene & Health

No swimming with open wounds, contagious illnesses, or recent vomiting
Spitting, nose-blowing, or urinating in the pool is strictly prohibited
No eating, drinking, or chewing gum in the pool area

👕 Dress Code & Equipment

Proper swimwear is required (no underwear or street clothes)
Swim caps are encouraged
Floatation devices may be used only with instructor approval
Goggles must be properly fitted
No glass containers, sharp objects, or pets allowed near the pool

📦 Personal Belongings

Swim Safe is not liable for lost or stolen items
Label all belongings clearly

🚨 Emergency Protocol

Instructors are trained in CPR and emergency response

💬 Respect & Conduct

Children must listen to instructors and follow directions
Disruptive behavior may result in temporary removal from the pool
Bullying, teasing, or exclusion is not tolerated
Staff may not be distracted during lessons

Privacy Policy Summary

How We Use Your Information:

Class Management: Scheduling, attendance tracking, and communication
Safety & Medical: Emergency contacts, medical information for learner safety
Progress Tracking: Skill assessments and report cards
Billing: Payment processing and invoicing
Communication: Class updates, reminders, and important announcements

Photo & Video Policy: We may take photos/videos for progress documentation. Parents will be notified separately before any images are used for marketing purposes.

Data Retention: We retain your information for as long as you're enrolled, plus 12 months for record-keeping, unless you request earlier deletion.

I confirm that I have read, understood, and agree to the following: *

Swim-Safe School Rules and policies
Privacy Policy and how my data will be used
POPIA compliance notice and my data protection rights
All information provided is accurate and complete
I consent to the collection and processing of the personal information provided for enrollment purposes

By submitting this form, you acknowledge that Swim-Safe will process your personal information in accordance with POPIA and our Privacy Policy.

Please read and accept the terms to submit your application

By submitting, you confirm all information is accurate • Application subject to approval