Child/ Adult Non-Member Boxing Day Swim 2019
Complete A Form For Each Participant
This form is for those who are not an annual NSVL member and would like a day membership in order to participate in the swim. If you are already a current NSVL member, please use the other form which can be downloaded from or found at .
Upon completion of this form full payment must be made online using the following details: Account No: 00017963 Sort Code: 40-52-40 Ref: BDS and your surname.
Please provide contact details below, they will only be used to update you on swim arrangements. When filling in the medical conditions please give as much detail as possible.
Full Name *
Your answer
Date Of Birth *
Email Address
Your answer
Home phone/ Mobile phone: *
Your answer
Medical Conditions/ Disabilities:
Your answer
Next of Kin Name *
Your answer
Next of Kin Home phone/ Mobile phone: *
Your answer
Please Note:
Day membership to NSVL costs £5 per person.
The last date for day membership forms to be received is Thursday 12th December.
You will still need to ‘sign in’ on the day but this will be a lot quicker than for those who are not pre-registered and you are guaranteed a place.
Anyone under 16 taking part needs their parent/guardian to sign them in on the day.
See the club web site at for full details on the swim.
Do you want to pre-order a Commemorative a T-Shirt?
Each T-Shirt costs an additional £7 but the order must be received by Thursday 12th December to qualify for this price.There will be a limited supply of T-Shirt to buy on Boxing Day itself at a cost of £10, but sizes cannot be guaranteed. All pre-ordered T-Shirts will be available for collection on Boxing Day.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy