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Western Baths Water Polo Club - Junior Sessions
GDPR; all information provided will be stored securely in a locked file on the club Google Drive. You will only be contacted regarding Western Baths Water Polo Club and any information provided will not be shared out with the club.
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* Indicates required question
Athlete's Name
*
Your answer
Athlete's DOB
*
MM
/
DD
/
YYYY
Athlete's Gender
*
Male
Female
Other
Prefer not to say
Is the athlete a competent swimmer?
*
e.g. Tread water for 30+ seconds. Swim 100m with ease and without stopping
Yes
No
Parent/Guardian Name
*
Your answer
Relationship to athlete
*
Your answer
Emergency Contact 1 (Phone Number)
*
Your answer
Parent/Guardian Email Address
*
Your answer
Does the athlete have any medical conditions that we should be aware of? (If yes please specify)
*
Your answer
Do you give photo consent for the athlete at these sessions?
*
Any photos taken will stored securely in a locked folder on the clubs Google Drive and will be used for promotional reasons only through the club social media platforms.
Yes
No
Emergency Contact 2 (Name)
Your answer
Emergency Contact 2 (Relationship to athlete)
Your answer
Emergency Contact 2 (Phone Number)
Your answer
Emergency Contact 2 (Email Address)
Your answer
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