WAREHAM & DISTRICT SWIMMING CLUB

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Join Us

Wareham & District Swimming club is perfectly placed to serve swimmers throughout the isle of purbeck and have welcomed swimmers from further afield too.

A small but striving club with a long history of producing well rounded swimmers that have competed in National competitions, but don't worry if competition is not in your blood, our teaching sessions, along with Swim fit and Masters sessions offer something for all.

Our swimming assessments are held three times a year, to allow all new starters the same experience.

The Head teacher will give clear instruction to each swimmer and with their experience will place the swimmer in the best possible group/session.

Availability for this intake is limited so get on the list now to ensure that you do not miss out!

PLEASE COMPLETE THE FORM BELOW TO APPLY FOR MEMBERSHIP

WAREHAM & DISTRICT SWIMMING CLUB

Affiliated to D.C.ASA, Swim England South West Ltd & Swim England

APPLICATION FOR MEMBERSHIP

To be completed before participating in any activities of the Club.

Member/Swimmer's Details

First Name

Last Name

Gender

Phone

Date of Birth

Address

Emergency Contact - Details of Parent/Guardian/Spouse/Partner/Other.

Contact Name

Contact Phone Number

I confirm that the swimmer named above can swim 25 meters of each stroke

yes

n/a

Is the Member/Swimmer now a member, or have recently been a member of any other swimming club? If so please give details and dates below.

Medical Declaration

Please tick any conditions that apply, for any marked, please give details on space provided. Including any medication, and any supplementary information, that may assist the Club

Have any medical conditions e.g. diabetes, asthma, epilepsy and heart problem?

Use regular medication or an inhaler?

Could this be required during training sessions or at a gala?

Have any eyesight problems, including short sightedness?

Have any hearing problems?

Have any allergies e.g. to food or drugs?

Have any learning/behavioural difficulties e.g. dyslexia, reading problems or ADHD?

Have any other relevant problems?

Are you registered Disabled?

NONE

Please provide any further information here

In case of MEDICAL EMERGENCY, affecting a swimmer aged under 18 a Teacher/Coach or Club representative will make every effort to contact a person listed. If this is not possible, do you agree that the Teacher/Coach or Club representative may act in loco parentis with respect to emergency first aid treatment including administering any prescribed medication as defined on this form?

I agree

I do NOT agree

Data Protection

The information provided on this form is confidential and used to ensure the welfare of its members and to conduct the business of the Club. Information is stored on the Club’s database and made available to the Teachers/Coaches, Officers and Poolside Helpers to enable them to ensure the welfare, health and safety of swimmers. Details will be made available to the Swim England for registration, but are not disclosed to any other third party. Consent, as required by the General Data Protection Regulation (GDPR), to the holding of personal information on computer will be deemed to have been given by signing this form.

I confirm the accuracy of the information given and will notify the Club of any changes.

“I acknowledge receipt of the rules of Wareham & District Swimming Club and confirm my understanding and acceptance that such rules (as amended from time to time) shall govern my membership of the Club. I further acknowledge and accept the responsibilities of membership upon members as set out in these rules.”