Loco Parentis Form 2026


    Guildford City Swimming Club – Loco Parentis Form


    Swimming Camp 13th to 20th February 2026 – Cyprus


    To be completed by members aged 18 years or over, or by parents of members under 18 years – Separate forms should be completed for each swimmer.
    Please complete each box as requested.

    Full Name of swimmer as on passport

    Swimmer’s Date of birth

    Swimmer’s Swim England Membership Number

    Swimmer’s Age as at 13.02.2026

    Swimmer’s Full Postal Address

    Swimmer’s Mobile Number for Whatsapp Group Whilst on Camp

    First Emergency Contact Name, Relation To Swimmer & Mobile

    Name

    Relation to Swimmer

    Mobile

    Second Emergency Parent Name & Mobile

    Name

    Relation to Swimmer

    Mobile

    Signature Required
    I/we give consent for any of the Team Managers/Coaches named below to act in loco parentis. Should there be a medical emergency they can give permission to qualified medical professionals to undertake medical treatment on our behalf if I/we are unavailable to do so.

    By entering your names below, you are electronically signing this form and giving permission for any of the Team Managers/Coaches to act in loco parentis.

    NAME 1:

    NAME 2:

    Ben Rowett
    Riaan Steyn
    Nicky Matthews
    Trish Taylor
    Julie Punter

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