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State YPW Trial & Assessment
Book a trial and swimming assessment for our state squads. Min. Training Capacity; 400m Freestyle in under 8 minutes and 200m Kicking Drill in under 7 minutes.
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1
Swimmers Name
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First Name
Last Name
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2
Date of Birth:
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Date
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3
Current Date
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AGE
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5
Current Swimming
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Learn to Swim
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6
Name of {currentSwimming}
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7
Swimming PBs
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8
What are your swimming goals?
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select all relevant to you
Compete regularly in swim meets
Fitness and endurance
Technique and efficiency
Starts and turns
Confidence and comfort in the water
Competitive training methods
Open water swimming
Selection for a school team
Other
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9
Trial Booking
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10
Parent/Guardian Name
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First Name
Last Name
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11
Mobile
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Please enter a valid phone number.
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12
Email
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example@example.com
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13
How did you hear about our swim club?
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