Childs Name *
Mobile Number *
ASA Number *
202 – 50 Free Time 00:31.26
205 – 100 Free Time 01.26.34
If you don’t know your times, please leave blank.
Amout paid and payment type (Paypall preferred, use bank transfer if no paypall) *
Ramsbottom Pool and Fitness Centre, Porritt Way, Bury
BL0 0PT, UK
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