Language
English (UK)
Swim Ireland Registration
Kilkenny Swimming Club 2022 / '23
Swimmers Name
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Date
Address
*
Street Address
Street Address Line 2
Town
County
Eircode
The Swimmer is now in C Juniors or above and would like to register with Swim Ireland?
*
Yes
No
Once the swimmer is processed on the Swim Ireland database, our Membership Secretary will email you your swimmer's membership number. They need this membership number for entering galas. Please save it for future reference.
Parent / Guardian Name
*
First Name
Last Name
Parent Mobile Phone Number
*
e.g. 0851234567
Parent Email
*
example@example.com
Payment Due
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Credit Card Number
Security Code
Card Expiration
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