Sandgate Swimming Club Registration Form

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Contact Information

Child 1 Full Name *

Gender *

Date of Birth *

YYYY

Child 2 Full Name

Gender

Date of Birth

YYYY

Child 3 Full Name

Gender

Date of Birth

YYYY

Child 4 Full Name

Gender

Date of Birth

YYYY

Parent 1 Full Name *

Parent 2 Full Name

Email *

Home Address *

Phone number Parent 1 *

Phone number Parent 2

Media Release *

I authorise Sandgate Storm Swimming Club to take and use photographs of swim club members and events for use on Sandgate Storm swim club email newsletters, super swimmers and leader board, Facebook and Website. These photos will be de-identified for any public media.

Required

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