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Bury and Elton new member form
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Email
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Your email
Entry Requirements
As a swim club, we need younger swimmers to be confident and strong and swim at least 25- 50 m in 3 different strokes and older swimmers (high school) at least 50-100 m in 3 strokes.
Sex
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Male
Female
Prefer not to say
Where did you hear about Bury and Elton ASC?
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Your answer
Name of swimmer
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Your answer
Date of birth
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MM
/
DD
/
YYYY
Name of swim school if applicable
*
Your answer
Front Crawl distance swimmer can swim?
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None
25m
50m
Other:
Breast Stroke distance swimmer can swim?
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None
25m
50m
Other:
Back Stroke distance swimmer can swim?
*
None
25m
50m
Other:
Butterfly distance swimmer can swim?
*
None
25m
50m
Other:
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