Swim England & Haringey Aquatics Memberships Registration and Renewal for 2018
A copy of your responses to this form will be emailed to you. Please provide main contact's email address.
Membership Renewal 2018
All members of Haringey Aquatics should use this document for the renewal of Swim England (former ASA) Registration and any changes of personal details.
Membership is renewed ONLY on completion of these forms AND receipt of Membership Fees.
MEMBERS ARE NOT INSURED OR ALLOWED TO TAKE PART IN ANY AQUATIC ACTIVITIES IF YOUR ANNUAL MEMBERSHIP IS NOT PAID.
I wish to
Renew my Swim England (SE) Registration & Membership with Haringey Aquatics
Amend my details
Join as a new member
Upgrade my membership (to use only after 31st January 2018)
Date of Birth
Primary Contact - Please write Name, Relationship to Member, Telephone Number and Email Address
Please provide at least one
Secondary or Emergency Contact - Please write Name, Relationship to Member and Telephone Number
Must be a responsible adult. Add email address ONLY if you wish for communications to be ALSO sent to this address
Does the member have any health concerns, disabilities or special needs that the instructors/coaches should be aware of? Please also write if the member requires any medication.
Haringey Aquatics Codes of Conduct
Please read the Codes of Conduct on
YES, I have read and I will follow Haringey Aquatics Codes of Conduct for members, for parents and for volunteers
Haringey Aquatics may wish to take photographs of individuals or groups of swimmers/divers/waterpolo players under the age of 18. All photos will be taken and published in line with ASA policy. Photographs may be taken to use on the club’s secure website, to include with newspaper articles, to use on club notice boards, for advertising and marketing purposes or for video for training purposes. A professional photographer (suitably approved) may take photos at competitions attended.
Swim England Registration Number
Enter your family name on this website to find your membership number
If you are not yet registered, please type 'not registered'
Which category of membership are you applying for OR are you renewing
Category 1 - £21.00 NON COMPETITIVE (you will not be able to enter any external or licensed competitions under Cat 1)
Category 2 - £38.00 COMPETITIVE
Category 3 - Committee/Officials/Staff/Volunteers
Upgrade from Cat 1 to Cat 2 - (£17.00) ONLY TO BE USED BY CAT 1 MEMBERS WISHING TO UPGRADE AFTER 31/1/18
Activity with Haringey Aquatics
Please tick any of the relevant boxes below
Water Polo Player
Official / Volunteer
Country of International Representation
Please tick nature(s) of disability
This question is OPTIONAL, however Haringey Aquatics is moving towards being more representative of our communities. To this end, the Committee monitors the composition of the Club to review progress. The collected data will be used only for statistical analysis reported to the Committee.
Account to pay
Money is NOT taken out of your account on submission of this form. Membership is not renewed until full payment is received.
Swimming/Water Polo - Bank Transfer - Co-op Bank, Haringey Aquatics - S/code: 08-92-99 - A/c: 65110126
Diving ONLY - Bank Transfer - Co-op Bank, Haringey Aquatics - S/code: 08-92-99 - A/c: 65505304
Applying for or renewing Category 3 membership for staff and volunteers
Please use the member's "Name Surname/SE18" as reference for your payment when applying for or renewing the annual Swim England membership
Existing members must renew by 31st January 2018, failure to pay by this date will result in the membership being lapsed.
To reinstate a lapsed membership after 31st January 2018 a £10 administration fee per member will apply on top of normal fees.
I understand that a Registration fee to Swim England is payable on joining and then every January thereafter.
I understand that the club itself charges an annual fee which for convenience is split into twelve equal monthly installments, which is payable on the 1st of the month as set by the Committee.
On joining, the first month must be paid via online banking. Fees are variable depending by discipline and level of training.
I will reference all payments as instructed.
I understand that when a member leaves the club, the club requires one month notice in writing (email
for swimming&waterpolo and
I understand that Haringey Aquatics is a competitive club and that its members may be selected to represent the club at various competitions. When invited, members must confirm as soon as possible whether or not they will attend to the allocated Team Manager.
I will inform the club at once if our details (address, phone number, email address) change.
Parent/Carer or Member over 18 years old
A copy of your responses will be emailed to the address you provided.
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