Membership Enquiry Membership Enquiry Contact DetailsSwimmers Name* Age*Date of Birth* DD slash MM slash YYYY Contact Name* Relationship to swimmer* Telephone*Email* Swimming ExperienceAbility* Cannot Swim any stroke unaided Able to swim a basic front/back stroke Competitive swimmer Basic front/back stroke* Small Pool only Several widths of main pool Several lengths of main pool Has the swimmer had previous structured swim teaching ?* Yes No Swim School* Yes No Level Achieved* Stage number or hat colourSchool Swimming* Yes No Swimming Club* Yes No Club Name*