Swim England North East Region Young Leader Development Day Application Form
To be held on either 19th January 2019 at Wakefield College, Castleford WF10 4UA or 26th January 2019 at Unity Academy, Middlesbrough TS3 8RE.
Full Name *
Your answer
Date of Birth *
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Address (including postcode) *
Your answer
Contact Telephone Number *
Your answer
Email Address *
Your answer
Name of your Club *
Your answer
Please indicate the which development day you would prefer to attend? *
Please outline if you currently volunteer in aquatics or other activities and the reasons why you would like to attend this Development Day?
Your answer
Please state the name and email address of someone at your club who is willing to mentor and support you with volunteering opportunities? (Please ensure that you have spoken with them first).
Your answer
Do you have any specific requirements or disability which you may require assistance with when attending the Development Day?
Your answer
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