2021 SE London Poolside Pass Application

1
By completing this form, you are permitting SE London to contact you on the email you provide should we need to communicate regarding any SE London meet in 2021. Your email will be deleted from this submission after all 2021 meets have been completed in accordance with our Data Protection Policy set out in the Promoter's Conditions of each meet.
2
Full Name* This field is required.Full name of Applicant
Forename(s)
Surname
3
Club Name* This field is required.
4
Swim England Club Code* This field is required.Please select from the list below.
ANCL
AQNL
AVOL
BACL
SPAL
BANL
BWCL
BEKL
BEGL
BEML
BEXL
BATL
BWFL
HAWL
BOBL
BRYL
BRBL
BROL
BRUL
BUCL
CMIL
CSCL
CHLL
CWSL
CMSL
CWPL
CROL
CRYL
DLAL
DUDL
EALL
EOTL
EASL
EMSL
ENSL
ERIL
FELL
FORL
GWRL
HAGL
HPEL
HHWL
HABL
HRWL
ECDL
HDOL
HAYL
HISL
HORL
HOJL
ICSL
ISLL
KILL
KCSL
KIRL
LEAL
LWPL
KEYL
EWPL
LHOL
LBRL
LODL
LONL
LRSL
LSBL
MPIL
MSDL
MERL
MTPL
MDXL
MMSL
MPDL
NWLL
NUEL
OMWL
OWTL
OOJL
OTTL
OUTL
POLL
RSCL
ROML
RUIL
SAXL
SERL
SSSL
SHKL
SCRL
SLSL
SWDL
SAQL
SWLL
SPEL
SGUL
SJAL
SPSL
STXL
STML
SSVL
SUTL
SATL
TEDL
TTOL
TOWL
TURL
WFDL
WANL
HAPL
WTIL
WMBL
WOOL
YMCL
5
Applicant Category* This field is required.Club Coach and Team Manager categories require a DBS Check and a "Safeguarding & Protecting Children" course attendance (completed within the previous 3 years of application).
Club Coach
Team Manager (including personal care attendants for para swimmers)
VIP Guest
Non-Technical Personnel/Volunteer
COVID Marshal
Chaperone
SE London Staff
6
Has your Club achieved SwimMark (formerly Swim21) accreditation?* This field is required.If not, you will need to provide additional information for Child Welfare and Safeguarding reasons.
YESNO
7
Date when "Safeguarding & Protecting Children" course was attended* This field is required.It must be within the last three years.
Date
Day
Month
Year
8
DBS Number* This field is required.Please provide the Reference Number provided when your DBS Check was submitted.
Numeric characters only, no spaces.
9
Email Address of Applicant* This field is required.
example@example.com
Confirm Email
10
Emergency Phone NumberMain mobile or landline contact number in case of an emergency.
First 5 digits
Last 6 digits
11
How do you want to upload your photo?* This field is required.
Use the camera on my laptop or mobile device
Use a photo I already have on my device
12
Take your Photo using your WebCam or Mobile Device* This field is required.If you do not have this facility available, click previous and select "Use a photo I already have on my device".
13
Upload Image for Pass* This field is required.Please upload an electronic image file which accurately represents your current appearance.
Drag and drop files here
Select files to upload
Max. file size: 4.0MB
JPG, JPEG & PNG files only - max 4MB in size
Cancelof
14
UNIQUE PASS REFERENCE #
Should be Empty: