Harlequins Aquatic Club
ANNUAL MEMBERSHIP AFFILIATION: 2021/2022

* In order to be a member of Harlequins Aquatic Club a swimmer must train with one of the Harlequins Coaches
* A calendar month's written notice is required upon resignations from Harlequins Aquatic Club.
* NEW SWIMMERS: Please submit a copy of your ID/birth certificate
* All personal information will be shared with coaches, Harlequins committee, district and national swimming organisations.
No hard copies please
Email *
NB!! Full gala Swimmers
Please note participation in Age Group, Provincial or National galas requires all swimmers to be registered with Harlequins and Swim South Africa (SSA) & Buffalo City Aquatics (BCA) & Eastern Cape Aquatics (ECA)
If your child swims in a gala, the registered parent will be required to officiate at least 1 session, could be more. - 1 official per swimmer is required. (incl in the fees)
Remember the first gala of the new season starts, when we can, and you must be registered with SSA 3 weeks before the gala entries close
Swimmer 1: full names (all names on birth certificate) and surname please *
Swimmer 1: ID number ( on birth certificate) *
Swimmer 1: Gender *
Swimmer 1: School *
Swimmer 1's official *
Ethnicity
Clear selection
Swimmer 1: Squad: *
Swimmer 2: Full names and surname
Swimmer 2: ID (on birth certificate)
Swimmer 2: Gender
Clear selection
Child 2: School
Swimmer 2's Official:
Ethnicity
Clear selection
Swimmer 2: Squad:
Clear selection
Mother: Full Names and surname and ID nr *
Mother: Address:
Mother: Cell nr *
Mother: Home tel nr.
Mother: Work tel nr
Mother: Occupation:
Mother: E-mail: *
Father: Full Names and Surname and ID nr *
Father: Address
Father: Cell nr *
Father: Home tel nr
Father: work tel nr
Father: E-mail *
Father: Occupation
Medical Aid: name and scheme *
Medical aid number *
Club communication is done via Whatsapp. You will be added to the relevant groups, where relevant information will shared. Please indicate preferred cell and also e-mail if preferred. *
Required
Affiliation definitions:
Full gala swimmer can enter any/all galas during the season. Fees include 1 official per swimmer.
Level 1 swimmer- only swims, not previously affiliated in 1 gala i.e. the Level 1 gala at the end of the season. Includes 1 official per swimmer..
Annual Affiliation fees: *
Required
All these documents to be completed and mailed:
Payments
Only EFT's accepted Reference to be used is : Surname/Reg

NB!!! E-mail forms and Proof of Payment to recordsharlequins@gmail.com

Banking details: Name of the account : Harlequins Aquatic Club
Name of bank : First National Bank (FNB)
Account No : 62009972945
Branch Code : 210221
Please contact our treasurer (Lisa 0836509525) or records officer (Lizette 0812705839) if you need to make other payment arrangements.
A copy of your responses will be emailed to the address you provided.
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