Squad Group Registration
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Email *
Swimmer's First and Last Name: (please submit a seperate form for each swimmer) *
Swimmers Date of Birth *
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Preferred Stream / Group *
Required
There is a one-off $50.00 administration fee which covers set up in the programme. This also includes a free Submerge Aquatics training cap
Additional training caps can be arranged by emailing Ben@submergeaquatics.com
Parent/Guardian Name:
Parent/Guardian Contact phone number:
Does your swimmer have any medical conditions or learning requirements/needs? This information will be held confidentially and only shared with our coaches. *
E.g. Asthma, Dyslexia, Epilepsy, Hearing or Vision impairments, etc. or put N/A
Preferred Start Date *
MM
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DD
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Terms and Conditions
https://www.submergeaquatics.com/policies
I have read and agree to the Terms and Conditions: *
Required
Where have you come from? *
E.g. Graduated Aqua 9, from another Swim School/Squad programme (please specify), SAC Staff, etc.
Postal Address *
Ethnicity (required for Swimming NZ membership) *
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