Membership Form

MEMBERSHIP FORM

SCROLL DOWN THE PAGE TO COMPLETE THE GUILDFORD CITY MEMBERSHIP FORM. PLEASE ONLY COMPLETE THE MEMBERSHIP FORM BELOW IF YOUR APPLICATION TO JOIN THE CLUB HAS BEEN ACCEPTED.
THE FORM WILL BE AUTOMATICALLY EMAILED TO MEMBERSHIP ON CLICKING THE SUBMIT BUTTON.

(NOTE: TO APPLY FOR A TRIAL PLEASE COMPLETE THE TRIAL APPLICATION FORM)

For junior members (under the age of 18) this form must be completed by a parent, as members of Guildford City Swimming Club who are under 18 years of age do not have voting rights at any General Meetings of the Club. The submission of this form legally confirms the commitment of the swimmer.

To comply with ASA requirements the parent/carer is also required to join the ASA.

giftaid-banner
If you are a UK tax payer please consider completing the Gift Aid form. Using Gift Aid means that we get an extra 25% from the Inland Revenue, helping your membership fee go further.

 

ALL SECTIONS MUST BE COMPLETED ~ PLEASE TYPE YOUR NAME WHERE A SIGNATURE IS REQUIRED






Swimmers Details

Title of Swimmer

First Name of Swimmer (required)

Surname of Swimmer (required)

Date of Birth (required)

Please confirm year of birth – format yyyy (required)

Swimming Group
If you are new to the club, please enter the swimming group you have been accepted for.

School (required)
Please enter the school where your child studies or n/a if you are over school age.

Aims & Ambitions

Address (required)

Post Code (required)

Your Email (required)

Please note that the Club uses email to communicate with its members and an up to date email address is essential.
This must include the email address of the person responsible for payment of fees

Home Phone No

Mobile

Emergency Phone No (required)

A further contact number of a person we can contact in an emergency is essential.

Country Of International Representation

Competitive Swimmers Only


Previous Club Members

Highlights

Have you or your swimmers belonged to another Swimming Club? If yes, please give details of the last 3 clubs including dates and reason for leaving (if you have had any disputes or disagreements with any teachers/coaches/volunteers or Committee members at the Club that may affect a reference being submitted please ensure that this is recorded below even if this is not your reason for leaving):

Club

From/To

Reason for Leaving

Club

From/To

Reason for Leaving

Club

From/To

Reason for Leaving

Have you or anyone wishing to be a member of Guildford City been subject to an ASA judicial review?

Yes No 

Negative answers do not necessarily mean that membership will be declined.

Membership of Guildford City will rely on various checks being undertaken. It is therefore important that questions are answered as accurately as possible. If at a later date undisclosed information comes to light the club reserves the right to rescind membership.


Parent / Guardian Details Details

Must be completed for all swimmers under 18.

Title

First Name

Surname

Relationship to swimmer

Address (if different from above)


Medical Details

To be completed by members 18 years or over, or by parent / guardian of swimmers under 18 years old.
Please select Yes or No as appropriate and complete further details as necessary.

Do you or you child have any specific medical conditions requiring medical treatment and / or medication?
Yes No 
If yes, please give details

Do you or does your child have any allergies?
Yes No 
If yes, please give details

Do you or does your child take any regular medication?
Yes No 
If yes, please give details

Any other relevant information? Please also give details of difficulties you or your child may have that may affect swimming such as Dyspraxia, Dyslexia, Autistic Spectrum Disorders or ADHD.
Yes No 
If yes, please give details

Swimmer’s Doctor & Surgery (required)

Doctor’s Tel. Number (required)

I understand that, in compliance with the Data Protection Act 1998, all efforts will be made to ensure that this information is accurate, kept up to date and secure and that it is used only in connection with the purpose and activities of the club. Information will not be kept once a person is no longer member of the club. The information will be disclosed only to those members of the club for whom it is appropriate and relevant officers of the Amateur Swimming Association or British Swimming.

Signed (Swimmer)

Please type your name where a signature is required.

Date

Signature of Parent / Guardian (if swimmer is under 18 years)

Please type your name where a signature is required.

For Parents / Guardians of Competitive Swimmers under 18 years
It may be essential at some time for the Club Coach or Team Manager accompanying your son / daughter to have the necessary authority to obtain any urgent treatment which may be required whilst at a competition with Guildford City Swimming Club.
Would you therefore please complete the details on this form and sign below to give your consent.

I, being the parent / carer of the above named child hereby give permission for the Coach or Team Manager to give the immediately necessary authority on my behalf for any medical or surgical treatment recommended by competent medical authorities, where it would be contrary to my son / daughter’s interest, on the doctors medical opinion, for any delay to be incurred by seeking my personal consent.

Signature of Consent by Parent / Carer

Please type your name where a signature is required.

Print Full Name

Date


Parent’s Photography Consent

Guildford City Swimming Club may wish to take photographs, (individual and in groups) of swimmers under the age of 18. All photos will be taken and published in line with ASA policy.

Photographs may be taken to use on the club’s secure website, to include with newspaper articles, to use on club notice boards, for advertising and marketing purposes or for video for training purposes. A professional photographer (suitably approved) may take photos at competitions attended.

Consent given ?
Yes No 

Signed

Please type your name where a signature is required.

Date


Club Constitution and Conditions of Membership

As a member of Guildford City Swimming Club:

  • You accept all the terms stated in this form.
    The Club has adopted the ASA Wavepower Documents for Safeguarding children and all the Codes of Conduct therein along with ASA policies. By sending this form you agree to read and be bound to the Wavepower document, Codes of Conduct and policies which can be found on the Club/ASA website. Other documents which members must read and agree to are available on our website under “About us – documentation”.
  • You accept that once the swimmer enters the water each term the full fees are due regardless of how often they swim.
  • You ensure that all fees and increments for the term are paid by the Payment Due Date on the invoice.
  • You supply up to date contact details as requested to the Membership Team (the Club uses email to disseminate information).

Data Protection Act

In compliance with the Data Protection Act 1998, all efforts will be made to ensure that this information is accurate, kept up to date and secure and that it is used only in connection with the purpose and activities of the club. Information will not be kept once a person is no longer member of the club. The information will be disclosed only to those members of the club for whom it is appropriate and relevant officers of the Amateur Swimming Association or British Swimming.

British Swimming has registered with Data Protection on behalf of the three Home Counties to hold personal data of members and all affiliated clubs, counties and regions. There is no need for any club, county or region to register independently. Records are kept on computer and coaches keep details of swimming performance. Keeping information in this way enables us to run the club more efficiently. If you wish to check the information is correct then please contact the membership team.

Application for Membership

  • I have no objection to information regarding me and / or my children being kept on computer.
  • I agree to all the conditions of membership as outlined on this form and acknowledge that each time the swimmer enters the water it is also deemed that I have accepted any changes notifed my email, website or notice board.

  • I acknowledge that by sending this form I confirm that my answers to the questions are a true and accurate reflection of my situation.
  • Swimmer’s Name / Parent’s Name

    Signature

    Please type your name where a signature is required.

    Date

    Please tell us how you heard about the swimming opportunities at Guildford City Swimming Club

    If you are a UK taxpayer please consider completing our Gift Aid form after submitting this form. Link is at the top of the page. Many thanks.

    Please prove you are human

    captcha

    proswimwear