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Please complete as much of this form as possible. Ensure that you read the declaration thoroughly, with special focus on the use of this information for club and wider purposes.
Membership Details
New membership to this club
Transferring my primary membership from another club
Personal Details of swimmer
Primary contacts
Please enter at least one primary contact (the Club would prefer two, but recognises this is not always possible. Please ensure that you update the club should primary contact details change in the future, thank you.)
Contact #1
Contact #2
Other information
Please indicate any areas that may be of benefit to the club
  (For example: qualified IOT; director on boards; relevant work experience.)
General Updates
Learn to swim
Member declaration
Please read the declaration, check the box and submit.
I have read and I consent to the Membership Declaration or if the member is under 18 yrs, I am the parent/guardian/caregiver of the applicant who is under 18 years of age. I have read and understood this application form and the applicant’s membership declaration (over page). I understand the form and the declaration and I consent to the applicant’s application for membership on this basis. I also consent to the use of my/their personal information in accordance with clauses 4 and 5 of the membership declaration.
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