Membership, photography & medical declaration form

Part 1: MEMBERSHIP FORM
Welcome to Burnham-on-Sea Swimming Club! Please have a read of our welcome letter by clicking this link - https://goo.gl/p5MVwY

Please complete the details below which will then be sent to the Club Secretary. Note if the member is under 18 then contact details should be of the parent/carer and not the member.

This form is made up of three sections. Part 1: Membership Form, Part 2: Photography Declaration Form & Part 3: Medical Information & Declaration Form.

At the end of each page, click "Next" and it will take you to the next section.

If you have multiple swimmers joining the club, a new form will need to be completed for each swimmer. At the end of all sections after submitting you will see a link called "submit another response", click this link for each additional swimmer.

If you have any questions regarding the completion of this form, please email Kelly at bossecretary@outlook.com or Lewis at lewisplume@outlook.com

Below are links to important documents to be read by yourself and the swimmer. Completing this form shows your acceptance to these terms.

Code of conduct for parents - https://1drv.ms/b/s!Asr_cezXfhl8g_Vy00IHgG4KZRp6zA

Code of conduct for swimmers - https://1drv.ms/b/s!Asr_cezXfhl8g_VxZgQCcmmxH1yzsg

Code of conduct for coaches & teachers - https://1drv.ms/b/s!Asr_cezXfhl8g_Vz49eIsqQjtcde6w

Burnham-on-Sea Swimming Club Constitution - http://1drv.ms/1RZFlFR

Finally a link to the different categories of ASA membership available to you.

ASA Membership Categories - http://www.swimming.org/asa/clubs-and-members/categories-of-membership/

* Required
Name of Swimmer *
Your answer
Known as (if applicable)
Your answer
Swimmers Date of birth *
MM
/
DD
/
YYYY
Male/Female *
Ethnicity *
Telephone *
Your answer
Email *
Your answer
Address *
Your answer
Is this the only club the swimmer is a member of? *
If no, please name other club in "Other" box
ASA Membership Number (If known)
Your answer
1st Contact Name, Relationship, Telephone *
Your answer
Any additional information?
Your answer
2nd Contact Name, Relationship, Telephone *
Your answer
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