Amersham Diving Trial Information
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Email Address *
Contact Name *
Contact Telephone Number
Participant's Gender *
Participants Full Name *
Participant's Date of Birth *
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Participant's sporting activities.  Please detail number of years in the sport and level achieved.  please list all sports. *
Swimming Ability  - Participants should be a confident swimmer able to swim 50 meters unaided.  Can they swim 50 meters competently unaided? *
Participant's Medical Information (ADHD, Asthma etc.) - please detail severity *
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