New Member Assessment 10am 7th February 2026

New Member Assessment 10am 7th February 2026
Swimmer Information
Parent/Carer Name:

First NameLast Name
Swimmer's Name

First NameLast Name
How old is the swimmer on 7/2/26?
Swimmer Date of Birth

DayMonthYear
Date
Address*

Street Address

Village/Town and County

CityState / Province

Postal / Zip CodeCountry
Parent/Carer Email
example@example.com
Parent/Carer Mobile Number:
Please enter a valid phone number.
If your swimmer wishes to transfer to Lakelanders from another club, what is the name of the swimmer's current club?
Should be Empty:

Swimmer Information