Winter Camp (VI) Christchurch Friday 11th - Sunday 13th October 2024
Swimming NZ and Blind Sport NZ are collaborating to deliver a winter camp focusing on providing positive aquatic experiences for those living with a vision impairment between 8-24 years of age. This camp is all about improving swimming technique and making friends. We require those attending to be confident in the water. Camp is free to attend, however, you must provide your own transport to camp (flights to Christchurch are not covered). Accommodation and meals are covered during camp. Please note there are limited spaces and registering does not confirm your spot. You will be emailed with confirmation. Registrations close on the 1st of September at midnight. If you have any questions please email hannah@swimming.org.nz
Swimmer Details
Name
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please tell us about your vision impairment
*
Please tell us about any other impairments and/or injuries you may have
Do you feel comfortable getting into a pool?
*
Yes, I am used to being in a pool
Yes, if someone is in the water with me
No, I am nervous / did not like it in the past
Not sure, I am not used to being in a pool
Are you comfortable being in the water without an instructor with you?
*
Yes
No
At camp would you like to train in a deep or shallow lane?
Deep
Shallow
What water skills can you do? (Tick all that apply to you)
*
Full submersion of face
Blow bubbles under water
Float on your back
Float on your front
Kick with assistance or a kickboard
Kick with no assistance
Arm strokes on front with assistance or a kickboard
Arm strokes on front with no assistance
Kick on back with assistance or a kickboard
Freestyle in shallow water
Backstroke in shallow water
Freestyle in deep water
Backstroke in deep water
Breaststroke in deep water
Butterfly in deep water
All of the above
None of the above
Why would you like to go on camp?
Are you a wheelchair user?
Yes
No
Any additional information you would like to share to help you get the most out of camp?
What sporting experience do you have?
There may be photos taken during camp. Do you consent to these being shared?
Yes
No
Parent/Guardian Details
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Accommodation
Will there be a support person (parent/guardian) attending with the swimmer (if you are under 18 this is a requirement)?
Yes
No
Will you require accommodation?
Yes, for both the participant and support person
Only for the participant
No accommodation is needed for the duration of the camp
Do you have any dietary requirements?
Any other information we may need/questions
Submit
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