Application

Before completing the membership form below, please:

contact our head coach, Glen Findlay at ns.headcoach@gmail.com to have your swimmer assessed and placed in a squad; and
read about our Membership Fees.

A separate membership form is required for each swimmer joining the Club.

Parent/Caregiver Details

Name(s) *Address *Mobile Number *Email Address *

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Swimmer's Details

Full Name *Gender *Date of Birth *

Ethnicity *School *

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Squad Details

Squad joining * (please email Glen Findlay to confirm)Swimming New Zealand registration category

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Other Details

Please include any information you feel we should know about the swimmer, eg medical condition etc *

Member Declaration

I have emailed/phoned the coach Glen Findlay and know which squad my child will be swimming in.

I am a parent/caregiver of a member who is under 18 years

By ticking the box below I confirm that I have read the Membership Terms & Conditions (click here) and confirm acceptance of the applicable provisions

I agree to the Membership Terms & Conditions *

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Thank you! Your application has been received!

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