Base2Race Swim Analysis - Booking Form
To best suit your needs please fill out this short form...
Date Of Birth
What sport are you involved in?
Level of swimming / swimming experience
How can we help you? Please give a brief description of your main aim for the service you want. Please also give details on your goals for swimming and your goals for your sport for the season ahead.
Have you had swim analysis done or attended a swim coach previously? If yes, please give details below...
Please give your 100meter front crawl time and/or your 400meter front crawl time.
What date suits you best to come in?
What time suits you best to come in?
Do you suffer with any health problems or have a history of any health problems? Please tick the appropriate box below.
Before attending, please ensure that you are fit enough to be able to participate in the services we provide. If you are at all unsure, please consult your Doctor prior to making this booking. If you attend and your assessor does not believe you are in a suitable state of health you will be informed of this and your booking will not be fully refunded.
Please list any other medical conditions of note or any pre-existing conditions or injuries
(please complete if relevant).
If you ticked yes to any of the options above, you will need to get permission from your GP to partake in the Swim Analysis. This is due to the physical nature of the service we provide.
Base2Race is located in -->
(take exit 10 from M50 and it is behind the Honda garage)
At Base2Race we operate a strict 24 Cancellation policy, If you don't show you will be charged for the full session price.
This works both ways, if we make a mistake with your booking you will receive your next session free of charge.
I don't Agree
Do Not Fill This Out