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LHSS Annual Membership 2024 Includes Swim England Registration, County Affiliation and Insurance.
£52 per member (£26 for swimmers joining from 01/10/2024)
Bank: HSBC
Account Name: Locks Heath Swim Squad
Account Number: 41395181
Sort Code: 40-21-03
Ref "name"MS2024
Membership Form and Fee due by Fri 2 Feb 2024 for renewals and immediately for new members.
Swimmers must be a registered member to train and compete.
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Email
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Member's First Name
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Member's Surname
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Date of Birth
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First Line of Address
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Post Code
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Home Phone Number (inc dialling code)
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Parent/Guardian Name
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Parent/Guardian Mobile Number
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Parent/Guardian Email
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Additional Parent/Guardian Name (optional)
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Additional Parent/Guardian Mobile Number (optional)
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Additional Parent/Guardian Email (optional)
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School Member Attends
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Please tick all that apply to Member
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Takes regular medication?
Requires medication during training session?
Has Eyesight problems?
Has Hearing problems?
Has Allergies?
Has Learning or Behavioural issues?
Has other relevant problems or conditions?
None of the above.
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If you have ticked any of the questions above please give full details here.
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[You must tick all boxes] I / we understand that by signing this form I / we:
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Have returned a signed copy of "LHSS Code of Conduct" for swimmers AND parent/guardian
Confirm understanding of "Squad Structure, Criteria & Exit Policy".
Will ensure all fees are paid on due date
Wish to "opt in" to receive group email
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I give Consent for Member to be photographed for LHSS publicity:
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Parent/Guardian print name to confirm membership/payment - details at top of form.
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Date of payment
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A copy of your responses will be emailed to the address you provided.
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