Prescot Swimming Club - Enquiry Form

Prescot Swimming Club - Enquiry Form
The Club has 3 sections;
Learn to Swim, 'Club' and Squad (for swimmers wishing to compete).
Please complete this form and one of the Club's volunteers will be in touch as soon as possible.
Full Name of Swimmer, (first name and surname)*
Date of Birth*
BeginnerCurrently attending lessons at another providerSwims at another club - requesting a squad trial
Additional Information:
e.g. current lesson stage reached, lesson provider, medical information it would be helpful for us to be aware of at the outset, Swim England membership number if a member of another swimming club requesting a squad trial, etc.
Full Name of Enquirer, (first name and surname)*
Email Address of Enquirer*
Prescot Swimming Club

Affiliated to Swim England - SwimMark Accredited

enquiries@prescotswimmingclub.org
Should be Empty: