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Newcastle Swimming Academy - Request a Trial
If you need help completing this form, please contact membership@newcastleasc.net.Thank you.
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Parent/Guardian Information
Parent/guardian name
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Your answer
Address (incl. Post Code)
Your answer
Home/mobile phone number
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Your answer
Email address
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Your answer
Swimmer Information
Swimmer's name
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Your answer
Date of Birth
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Gender
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Current swimming level (please provide an indication of your current level of swimming ability)
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