Wiffen Swim Clinics Registration Form

Clinic Information
Wiffen Swim Clinics Registration Form

Friday 27 December 2024 (Age 17 and under) South Lakes Leisure Centre , Craigavon Co Armagh
Overview Booking T&C
Personal Information
Name of Swimmer*

First NameLast Name
Swimming Club
Name of Swimming club
Name of Parent if under 18*

First NameLast Name
Email Address (Parent if under 18)*
example@example.com
Phone Number (Parent if under 18)*

Country CodeArea CodePhone Number
Swimmers Date of Birth*

DayMonthYear
Date
Itinerary
The lanes in the clinic will be divided based on times:

It is expected that swimmers have qualified at Regional Age-Group Championship level.

07:30 Pool session with Daniel, Nathan and Ben (kit bag required) arrive pool reaady

09:00 Change after pool session and opportunity to have a snack

09:30 Land based session and presentations ending with the opportunity to have a Q&A with Daniel and Nathan, autographs, pictures etc

12:30 Finish

COST: £150 per swimmer.

Parents are required to be on-site for the clinic and are welcome to watch the pool session from the viewing gallery and also attend the land based session and presentation.

It is expected that swimmers will bring their own food/snacks/drinks for consumption.
Most recent 100m qualifying time/ event
(100 Free preferred)
Event: blanks* SC   LC*
Time:   *
Date:   Date*
Meet/Gala:   *
Booking
Once you submit the form it will register your interest with the Wiffen Swim Clinic. We will review your application and check availability.

If there is still a place available, we will send you a link to a medical form and payment link.

You will only be considered to be booked onto the course once we have received your payment.

Places are granted on a first come first served basis.
Declarations
Should be Empty:

Clinic Information

Wiffen Swim Clinics Registration Form

Personal Information

Itinerary

Most recent 100m qualifying time/ event (100 Free preferred)

Booking

Declarations

Most recent 100m qualifying time/ event
(100 Free preferred)