New Member Registration for Buntingford Swimming Club

Welcome. Please enter all member details below.

Member Details

First Name

Known As

Last Name

Date of Birth

Gender

Sex at Birth

Competition Gender

Home Phone

Mobile Phone

Address 1

Address 2

Address 3

Town

County

Postcode

Country of Representation

Primary Contact Name

Relationship To Member

Ethnicity

Emergency Contact Person 1

Emergency Contact Phone 1

Emergency Contact Person 2

Emergency Contact Phone 2

School Attended

Consents

Consent To Travel

Consent Image Use

Do you consent to being photographed in line with our Photo policy?

Consent Video Use

Do you consent to being photographed in line with our Video policy?

Consent Name/Image Use In Publicity

Do you consent to your name/image being shown in publicity?

Consent National Swimming Body Can Display Times

Do you consent to National Swimming Body displaying your swim times on their website?
Caution! If you choose no here your times will not be visible in the Rankings Database which may affect your ability to enter events. Event organisers may in these cases require proof of age and/or of eligibility to enter

Loco Parentis Rights

Do you give the club the right to act in the best interests of the member, for example, in an injury situation?

I Consent You Can Store My Information

Under the UK Data Protection Act 2018 (commonly known as General Data Protection Regulation or GDPR), you must consent to us storing your information

To effectively run our club we will need to contact you for example when sending out gala eligibility emails and other communications relating to the club. In entering your details here, you are automatically acknowledging this.

Medical Details

Any Medical History?

Any Allergies?

Please notify the club below if your child has any of the following impairments, or any other condition we should be aware of.
This is to enable the coaches to properly accommodate and safeguard your child during club activities:
Visual impairment, learning disability, hearing impairment, physical disability, multiple disability or any other need the coaches should be aware of to enable your training.

Any Disabilities?

Doctor

Doctor Address

Doctor Phone

Parent Details

IF the details you entered above are a child's details AND you are their parent/guardian, please click the check box below and enter your details if you have not already entered your own details on a previous form or you don't already have an account:

I Am The Parent/Guardian

Only click this if you Do NOT already have an account

Enter your details below and a parent account will be automatically created for you and linked to your child's account:

Your First Name

Your Last Name

Date of Birth

Your Email Address

Your Home Phone

Your Mobile Phone

Security Check

Email Me My Details

If you have entered a valid email address above, check this to receive a PDF containing everything you submitted