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SEN & Additional-Needs Swimming Intake Form

Welcome swimmers with additional needs to inclusive lessons with an intake covering what helps, triggers, and support.

Description

The SEN and Additional Needs Swimming Intake Form gives teachers everything they need to welcome a child with additional needs warmly. Parents share what they’re hoping for, tell you about their child and what helps them, and note any diagnosis or needs, so lessons can be shaped around the individual from the very first session.

Understanding how the child copes in new places, what support suits in the water, whether a parent or carer will join, and any medical conditions, medications, or triggers helps you create a calm, safe, and inclusive experience. Child and contact details complete the intake, so every swimmer feels understood, supported, and free to enjoy the water.

Inclusive lessons open the water to every child. Sign up for a free Fun Forms account to customize the fields and embed this intake form on your website.

Form fields

Everything the SEN & Additional-Needs Swimming Intake Form above collects — 14 fields across 3 pages, so you can see exactly what it captures before you make it your own.

Everyone Swims Here

  • What are you hoping for?

    Multi-Select Icon
    Multi-Select
  • Tell us about your child and what helps them

    Long Answer Icon
    Long Answer
  • Any diagnosis or needs you'd like to share?

    Dropdown Icon
    Dropdown
  • How does your child do in new places?

    Dropdown Icon
    Dropdown

Support & Practical

  • In the water, what support suits?

    Dropdown Icon
    Dropdown
  • Will a parent or carer be in the water?

    Yes/No Icon
    Yes/No
  • Any medical conditions, medications, or triggers?

    Long Answer Icon
    Long Answer
  • What helps at lesson time?

    Multi-Select Icon
    Multi-Select

Swimmer & Contact

  • Child's name

    Name Icon
    Name
  • Child's age

    Number Icon
    Number
  • Parent / guardian name

    Name Icon
    Name
  • Email address

    Email Icon
    Email
  • Phone number

    Telephone Icon
    Telephone
  • Confirmation

    Consent Icon
    Consent
Use Template Arrow Right Icon

Template FAQs

Common questions about the SEN & Additional-Needs Swimming Intake Form — what it captures, when to use it, and how to make it your own.

What is an additional needs swimming intake?

It’s a welcoming intake for children with special educational needs or disabilities joining swimming lessons. It captures what helps each child, their triggers, and the support that suits, so teachers can shape calm, inclusive lessons around the individual.

Who is this intake form for?

It suits swim schools and teachers offering inclusive or one-to-one lessons for children with additional needs. Parents complete it so teachers can understand their child fully and prepare a session that feels safe, supportive, and enjoyable.

Why ask what helps my child?

Every child is different, and knowing what calms, motivates, or reassures yours lets the teacher plan lessons that work for them. Sharing what helps upfront means the very first session can be shaped around your child rather than a general approach.

What should I share about triggers?

Note anything that can cause distress, such as noise, cold, certain touch, or changes in routine, along with how you manage it. The teacher uses this to avoid or ease triggers, keeping lessons calm and helping your child feel safe in the water.

Can a parent or carer join in the water?

The form asks whether a parent or carer will be in the water, because for many children that support makes lessons possible. Knowing this helps the teacher plan the session and decide how best to build the child’s confidence and independence over time.

Is this intake form free to use?

Yes — it’s completely free with a Fun Forms account. You can customize every field, restyle it to match your brand, embed it on your website in seconds, and it needs no coding at all.