Apply For Free Trial Share this! Facebook Twitter LinkedIn To apply for a free trial session at the club, please fill in the details below or call our head coach Harry on 02086 610 205 or mobile 07956 588 921. Contact Form -Trial Swim Form 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 Parent / Guardian Details (Required) Must be completed by all swimmers Which responsable adult are you? (Required) ParentStep ParentFoster ParentAdopted ParentsGuardiansAuntUncle Parent or Guardians Full Name. (Required) Parent or Guardians Date of Birth. (Required) Please enter your Parent or Guardians Landline number. (Required) Please enter your Parent or Guardians Mobile number. (Required) Please enter your Parent or Guardians Email address. (Required) Please note that the Club uses email for all communication and an up to date email address is essential. Parent or Guardians - Relationship to swimmer. (Required) DaughterSonGrand DaughterGrand SonGuardianOther Please enter your Parent or Guardians Full address. (Required) 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 Swimming History How far can you swim? (Required) Not very far5 meters10 meters25 meters50 meters100 meters or more What stroke(s) can you swim? (Required) ButterflyBackstrokeBreaststrokeFreestyle Where did you find us? (Required) Google SearchBing SearchMobile searchSocial MediaFriendInformation BoardRecommendationPool FinderOther Are you currently in or have you left a swimming club affiliated to Swim England? Or have you been having lessons? No 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? 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 Rules & Regulations issued by Merton Pisces Swimming Club I acknowledge receipt of the constitution of Merton Pisces Swimming Club and confirm my understanding and acceptance that such rules (as amended from time to time) shall govern my membership of the Club. By selecting the tick boxes and submitting the application button you are consenting to Merton Pisces Swimming Club holding your personal data for the purposes of this application and to give us permission to contact you. Signature of the swimmer. Date: Please type your name where a signature is required and select the date Signature of Parent / Guardian (if swimmer is under 18 years) Date: 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 non-competitive category 1 member. This registration will be cancelled immediately should the trial subsequently not result in the swimmer joining the club. Δ Championship Gala 2021