Committee & Coaches Registration Form 2022-2023

Kilkenny Swimming Club Registration Form: 2022/2023 Season

Click for Kilkenny Swimming Club Handbook

Click for: Kilkenny Swimming Club Policy Documents
Swim Ireland Number (if existing member)
SECTION A: MEMBER DETAILS
Title:
Address 1: *
First Name: *
Address 2: *
Middle Name:
Address 3:
SurName: *
Town:
Gender *

Male Female
County: *
Date of Birth: *

Day Month Year
Country:
*Phone:
*Mobile: *
*Email: *
example@example.com
*Please note: If the member is U18 contact details should be the parent/carers
Is the person the head of the family? *

Yes No
(NOTE: Head of Family is oldest child with Swim Ireland Membership)
If not can you enter the ID of the head of their family (U21)
SECTION B: MEDICAL INFORMATION
Please detail below any important medical information that our coaches/team managers should be aware of (e.g. epilepsy, asthma, diabetes, allergies) Please do not leave blank. If there is no information please write 'None'
SECTION C: EMERGENCY CONTACT DETAILS
Please indicate the information below to indicate the persons who should be contacted in the event of an incident/accident
Emergency Contact 1 Name: *
Emergency Contact 1 Relationship: *
Emergency Contact 1 Number: *
Emergency Contact 2 Name:
Emergency Contact 2 Relationship:
Emergency Contact 2 Number:
Swim Ireland Club Membership Form Template 2020 – Page 1 of 3

SECTION D: PHOTOGRAPHY & VIDEO
In accordance with the Swim Ireland Filming and Photography policy, we only permit photographs, video or other images of children/young people to be taken with consent.

Photographs/videos will be taken by an appropriate person appointed to do so by Kilkenny Swimming Club. Any images will be used, held and stored in accordance with the Swim Ireland Filming and Photography Policy as specified in latest version of the Swim Ireland Safeguarding Polices. No child/young person will be identified individually in any published image or film footage.

Kilkenny Swimming Club request permission to photograph and/or record video footage of your child’s involvement in their sport for the purposes of publicising and promoting the club and/or sport.
SECTION E: CLUB PRIVACY STATEMENT
Kilkenny Swimming Club take the protection of the data that we hold about you as a member seriously and will do everything possible to ensure that data is collected, stored, processed, maintained, cleansed and retained in accordance with current/future data protection legislation.

Please read the full privacy notice carefully to see how Kilkenny Swimming Club will treat personal information that you provide to us. We will take reasonable care to keep your information secure and to prevent unauthorised access.

Please see attached to this membership form Kilkenny Swimming Club privacy statement
SECTION F: DATA SHARING WITH SWIM IRELAND
When you become a member of or renew your membership with Kilkenny Swimming Club you will automatically be registered with Swim Ireland through the Swim Ireland online membership database. We will provide Swim Ireland with your personal data which they will use to enable your personal access to the membership database. Swim Ireland will contact you to sign in and update your profile (which, amongst other things allows you to set and amend your opt-ins and privacy settings It is vital therefore that a valid email address is given, so that you can ensure that your data is correct and so that you can monitor your own privacy settings.

If you have any questions about the continuing privacy of your personal data when it is shared with Swim Ireland, please view the privacy policy on the Swim Ireland website or on sign up through the online membership database you will be presented with the relevant policy.
SECTION G: PARENTAL PARTICIPATION
As a parent / guardian of an athlete who is a member of Kilkenny Swimming Club, there are a certain number of mandatory duties that must be completed throughout the season:
1. Parent on Duty - Excluding D Squad and C Juniors, it is a mandatory requirement of Swim Ireland to have a parent on duty at every swim session. Parents will be rostered for such duty. Failure to present for duty will result in the cancellation of that swim session.
2. Club, Regional and National Competition Duty - Every club must supply officials. This is based on the number of entries from that club. If you enter your child in these competitionsyou may be rostered to carry out these duties which generally involve time-keeping, turn judge and line up. Swim Ireland run courses for Level 1 (time keeping) and Level 2 (turn judge) Officials. Parents should expect that they will have to attend these courses in order for Kilkenny Swimming Club to keep in line with Swim Ireland Regulations.
3. Club Competitions / Fundraising - As a club we run a number of club galas and fundraising events throughout the season. It is expected that all parents of participating athleteswill assist in the running of Club Galas and participate in fundraising events.
Swim Ireland Club Membership Form Template 2020 – Page 2 of 3

SECTION G: AGREEMENTS & CONSENTS
Kilkenny Swimming Club recognises the need to ensure the welfare and safety of all young people in our sport. Please tick the appropriate boxes below to confirm the declarations.

I agree to abide by the Swim Ireland Safeguarding Policies (latest update) and Rules of Swim Ireland and Club? I agree to abide by the relevant code of conduct as laid out by Swim Ireland and Kilkenny Swimming Club? I have never been asked to leave a sporting organisation? (If you leave blank, we will contact you in confidence)
By ticking the boxes below, you consent to the following.

I consent to my special category personal data provided in Section B to be shared with coaches/team mangers or other appropriate personnel for the purposes of the delivery of safe participation in club activities. I consent to my emergency contact details to be shared with coaches/team mangers or other appropriate personnel in the case of an emergency. I confirm that I give permission to be filmed and/or photographed. Photographs and/or video may be used in accordance with the Swim Ireland Filming and Photography Policy. I confirm I have read and understood Kilkenny Swimming Club privacy statement If I am a competitive swimmer I agree to my personal data and swimming times to be held and processed though Hy-Tek’s swimming software
Members Name:
Date:

Day Month Year
Membership Number (if known):
Parent/Carer Name:
Date:

Day Month Year

Declaration of the Club:

(Kilkenny Swimming Club use only)
I confirm that the above named has been accepted and is involved as a member of the club, and I have verified their date of birth.
Club Membership Secretary: Signature:

Clear
Name:
Date:

Day Month Year
Swim Ireland Club Membership Form Template 2020 – Page 3 of 3

Should be Empty:

SECTION A: MEMBER DETAILS

SECTION B: MEDICAL INFORMATION

SECTION C: EMERGENCY CONTACT DETAILS

SECTION D: PHOTOGRAPHY & VIDEO

SECTION E: CLUB PRIVACY STATEMENT

SECTION F: DATA SHARING WITH SWIM IRELAND

SECTION G: PARENTAL PARTICIPATION

SECTION G: AGREEMENTS & CONSENTS

Declaration of the Club: