Complete the form below to register your interest:
Please provide the swimmers first and last name, you don't need to provide any middle names or initials.
Date of Birth
Please provide the swimmers date of birth
This is really very important, please indicate your swimmers highest level of experience, have they taken swimming lessons only, or competed within a club environment before? What is their experience of diving, turning, etc.
Does your swimmer have any health concerns that should be brought to the coaches attention?
Primary Contact name
Please provide parent/carers name
Phone number (main contact number)
Please provide yours, or your parent/carers telephone number
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