fbpx

Swim School - Accident / Incident Form

Please enable JavaScript in your browser to complete this form.

Date & Time of Accident

Accident / Incident Details

As standard practice, please ensure that hospital or close observation is advised for all head injuries to monitor for concussion and any incident or near miss that occurs within the water to monitor for secondary drowning.

Description of the Accident / Incident

Click or drag files to this area to upload. You can upload up to 5 files.

Personal details of the Injured party

Address ( if not registered on swim lessons)

Parents / Carer signature, if injured person is under 18 years old.

Signer's Name