Club Organiser | Form Display

Welcome to the club! In order to ensure we can provide you with a safe and enjoyable experience, please complete the details below and submit. If the new club member is under 18 years of age then please provide contact details for the parent/carer rather than the member. I the parent/guardian of the below named child hereby give consent to the use of this information by the club for the protection and safeguarding of my child’s health. I also give permission for the Coach, Team Manager or other Club Officer to give the immediate necessary authority on my behalf for any medical or surgical treatment recommended by competent medical authorities, where it would be contrary to my son’s/daughter’s interest, in the doctor’s medical opinion, for any delay to be incurred by seeking my personal consent. I understand that the club may still have a lawful need to use this information for such purposes even if I later seek to withdraw this consent. The club will use your personal data for the purpose of your child’s involvement in training, activities or competitions with the club. For further details of how we process your personal data or your child’s personal data please our Privacy Policy. The Clubs Privacy Policy, Code of Conduct, Financial Policy, Photography Policy and all other policies can be found under the ABOUT section of this website.

Swimmer's First Name

Swimmer's Last Name

Date of Birth

Birth Sex

Diver's Birth Sex

Ethnicity

Address Line 1

Town

County

Postcode

Email Address (Main)

Home Phone No.

Mobile Phone No.

Emergency Contact 1 - Name

Emergency Contact 1 - Mobile No.

Emergency Contact 2 - Mobile No.

Emergency Contact 2 - Work No.

Specific Medical Details

Medication Details

Allergy Details

Disability Details

Extra Information

Consent to store/use your data

Photography and Video Consent

The Club may wish to take photographs of individuals and groups of Divers which may include you (or your child). All photographs that are taken and published will be done so in line with the Swim England Photography Policy. The Club requires consent to take and use photographs. You have a right to refuse agreement to you or your child being photographed. Please note, you may withdraw your consent, in writing to the Club Secretary, at any time should you wish to do so.

Tick box to agree to Photography & Video Consent *

Code of Conduct and Club Policy

I confirm that I have read, and agree to abide by the code of conduct and the club policies. I acknowledge receipt of the rules of the Club and confirm my understanding and acceptance that such rules (as amended from time to time) shall govern my membership of the Club. I further acknowledge and accept the responsibilities of membership upon members as set out in these rules.

Tick box to agree to Code of Conduct and Club Policy *

If at any time any of the above details change, please contact the membership secretary at secretary@harrowswim.com