To request a trial at the club, please complete the following form:

Please enter as much information as possible, once you have registered we will be in contact with you to arrange a trial.

Any queries please contact Mel at [email protected]


Swimmers Name
Gender
Date of Birth
Parent's Name
Contact Phone Number
Email Address
Confirm Email Address
Medical Details
Member of Another Club
If Yes, Give Details
ASA Reg Number
Swimming Experience
Please tell us what swimming experience the swimmer has, and if they have reached any ASA levels already
Answer the security question below
 


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