Apply For Free Trial

Swimmers Details

Please enter the swimmers full name.(Required)

Please enter the swimmers date of birth. (Required)

Please enter the swimmers place of birth. (Required)

Male / Female / Other (Required) MaleFemaleOther

What School does the swimmers attend? (Required)

Please enter your full address. (Required)

Please enter your postcode. (Required)

Please enter any other information you think we may require.

Is the swimmer under 18 year old? YesNo

Medical Details

Must be completed by everyone. (Required)

Does your child have any specific medical conditions requiring medical treatment and / or medication, or any difficulties your child may have such as Dyspraxia, Dyslexia, Autistic Spectrum Disorders or ADHD that the coaches should be aware of during the trial period?

YesNo
If yes, please give details

Are you currently in or have you left a swimming club?
Or have you been having lessons?

Coming from another Club?

What was your last club?
GLL LessonsMerton SwordfishWimbledon DolphinsKingston RoyalsCheam MarcudaSutton & CheamMitcham MarlinsOther Club

If you selected 'Other club', please fill in the name here.

Swim England Membership Number?
(If you have one?)

Date you left your last club?

Policies, Terms & Conditions, Rules & Regulations Constitution and Data Policy

The information is true and accurate to the best of my knowledge. I accept the Terms & Conditions issued by Merton Pisces Swimming Club I accept the Guidelines issued by Merton Pisces Swimming Club I acknowledge the constitution of Merton Pisces Swimming Club.

Signature of Member (Required)
Date of Signature of Member (Required)
Please type your name where a signature is required and select the date

Signature of Parent / Guardian (Required):
Date of Signature of Parent / Guardian (Required)
Please type your name where a signature is required and select the date

For insurance purposes, by submitting this application form you / your swimmer will be registered as a temporary member for the trial swim only

Thank you

Apply For Free Trial

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Merton Pisces Swimming Club
Trial Swim Form

Swimmers Details

Parent / Guardian Details (Required)

Medical Details

Swimming History

Coming from another Club?

Policies, Terms & Conditions, Rules & Regulations Constitution and Data Policy