Trial Request Form

Please complete with as much detail as possible. The form will be sent directly to our Membership Secretary who will be in touch to arrange a trial date as soon as possible.

Swimmer Name Swimmer Name * First Last
Male/Female *

Male/Female Male Female
Date of Birth Date of Birth * / DD / MM YYYY
Current/Former Club Swimmer? *

Current/Former Club Swimmer? Yes No
Description of current swimming ability, including details of most recent swimming award(s) *
Parent/Guardian Parent/Guardian * First Last
Email *

Confirmation emails are not currently working and a fix is delayed due to the holiday season. Submissions are reliable and we will be in contact soon.
Contact Telephone Number *
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In the number 20384, what is the 3rd digit?