Membership, photography & medical declaration form

Part 1: MEMBERSHIP FORM
Welcome to Burnham-on-Sea Swimming Club!

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 kellypods07@gmail.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://drive.google.com/open?id=0B_b0l0TBEbOEdl9DeF9Ucnl5ZW8

Code of conduct for swimmers - https://drive.google.com/file/d/0B_b0l0TBEbOEVmhYanRxZjJIcjA/view?usp=sharing

Code of conduct for coaches & teachers - https://drive.google.com/file/d/0B_b0l0TBEbOEX1dfaHZLRERRaTA/view?usp=sharing

Burnham-on-Sea Swimming Club Constitution - https://goo.gl/uXaLce

EU GDPR Privacy Statement - https://drive.google.com/open?id=1uSW960wdkAm9oSmwQ3-OvrMOmugR2Yk7

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

ASA Membership Categories - http://www.swimming.org/members/club-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
Next
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