If you would like to be included in the Get Safe 4 Summer Campaign please complete the below details so we can keep you updated on the progression.

Thank you for taking the time to complete this form. Once this has been received you will receive details about the campaign in due course. If you stated any questions, comments or suggestions above then we will contact you shortly to discuss the matter.

Centre/School Name:
Address:
Postcode:
Account Number (if known):
Centre Manager:
Telephone Number:
Email:
Swimming Co-ordinator:
Telephone Number:
Email:
Have you been involved in a previous ASA Get Safe 4 Summer Campaign? Yes    No
 
Do you have any questions, comments or suggestions to make about the campaign that you wish to discuss (please state below):