Trial & Membership Form

TRIAL & MEMBERSHIP FORM

SCROLL DOWN THE PAGE TO COMPLETE THE GUILDFORD CITY TRIAL & MEMBERSHIP FORM.
THE FORM WILL BE AUTOMATICALLY EMAILED TO MEMBERSHIP ON CLICKING THE SUBMIT BUTTON.
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 Swim England requirements the parent/carer is also required to join Swim England.
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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.

 






    1. Swimmer Details

    All Applicants Must Complete Section 1. Please type N/A if not applicable.

    Please enter the swimmer’s (your) full legal name as on the birth certificate.

    Title *

    First Name *

    Middle Name(s) *

    Surname *

    Preferred Name

    Date of Birth *

    Gender *

    Swimming Group * (either offered or requesting)

    Ethnicity *

    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.

    2. Swimmer Contact Details

    All Applicants Must Complete Section 2.

    Address (required)

    Post Code (required)

    Your Email (required)

    Second Email: Yahoo emails will go to spam, so please provide a second non-Yahoo email if your main email is with Yahoo.

    Contact No. (required)

    Please Give the Names & Contact Nos. of 2 Emergency Contacts (required)
    1. Contact Name Contact Phone No.
    2. Contact Name Contact Phone No.
    Two further contact numbers of people we can contact in an emergency are essential.

    3. Medical Details

    All Applicants Must Complete Section 3. Please select Yes or No as appropriate and complete further details as necessary.

    Does the swimmer have any specific medical conditions requiring medical treatment and / or medication?
    YesNo
    If yes, please give details

    Does the swimmer have any allergies?
    YesNo
    If yes, please give details

    Does the swimmer take any regular medication?
    YesNo
    If yes, please give details

    Any other relevant information? Please also give details of difficulties the swimmer may have that may affect swimming such as Dyspraxia, Dyslexia, Autistic Spectrum Disorders or ADHD.
    YesNo
    If yes, please give details

    Swimmer’s Doctor & Surgery (required)

    Doctor’s Tel. Number (required)

    4. For Applicants Under 18 Years

    A parent must complete Section 4 for all applicants under 18, otherwise skip to section 5.

    School
    Please enter the school where your child studies

    Parent / Guardian Details Details

    Title *

    First Name

    Surname

    Date of Birth

    Relationship to swimmer

    Parent Swim England – ASA number

    Please complete if you the parent already have membership of the ASA.

    Photographic Consent
    The Club may wish to take photographs of individuals and groups of swimmers under the age of 18 which may include your swimmer. All photographs will be taken and published in line with the Swim England Photography Policy. The club requires parental consent to take and use photographs. Parents have a right to refuse agreement to their swimmer being photographed. As the parent or carer please indicate your permission below. Please note you can withdraw your consent in writing to the Club Membership Administrator at any time should you wish to do so.

    Photos to be used on club (secure) website? Yes/No
    YesNo

    Photos to be included in newspaper articles? Yes/No
    YesNo

    Photos taken by professional photographer at events? Yes/No
    YesNo

    Filming for training purposes? Yes/No
    YesNo

    Print Full Name Date
    Please type your name where a signature is required.

    Swimmer Ability
    If your swimmer is a competitive swimmer transferring from another Swim England affiliated club or from abroad please skip to section 5.

    In order to help to assign your child to the correct group please enter as much information as possible about their current swimming ability.

    Is your child currently or have they in the past taken part in structured swimming lessons YesNo
    If yes, please give details

    Distance or Stage

    Current ability inc swimming distances and strokes (Required) or Beginner

    5. Competitive Swimmers Only

    All competitive swimming applicants must complete Section 5. Please skip to section 6 if you or your swimmer are applying for a recreational or learn to swim membership.

    Country Of International Representation

    Category
    For the purpose of competition either ‘Open’ or ‘Female’

    Competitive Highlights

    Previous Clubs
    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?
    YesNo

    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.

    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.

    Print Full Name Date
    Please type your name where a signature is required.

    6. Data Protection Act – Privacy Policy

    All applicants must sign section 8 below to confirm that they have read this section.
    In compliance with the General Data Protection Regulation 25 May 2018, we will ensure that all information held by the club is accurate, kept up to date and secure and that it is used only in connection with the purpose and activities. We will hold the data for 3 years after your last contact or from when you leave the club and then any information will be destroyed.

    For Members of the Club only, information will be disclosed to those members of the Club / Swim England for whom it is appropriate and necessary.

    Swimming England has registered with Data Protection on behalf of member Clubs, counties and regions, enabling them to hold personal data of members etc.

    Records are kept on computer / Icloud platforms. Keeping information in this way enables us to run the club more efficiently.
    By pressing the ‘submit application’ button you are consenting to Guildford City SC holding your personal data for the purposes of this application as set out above and to give us permission to contact you. A copy of Guildford City Swimming Club’s Privacy Policy is available from the Website under, About Us, Documents.

    You can request information is deleted before the 3 years by contacting liz.simmons@gcsc.co.uk

    7. Club Constitution and Conditions of Membership

    All applicants must sign section 8 below to confirm that they have read this section.
    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 submitting 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 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).

    8. Application for Membership

    All applicants must sign this section.

    • 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 in section 7. 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.

    Print Full Name * Date *
    Please type your name where a signature is required.

    Please prove you are human
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    An email will be sent to confirm receipt of this application. Please contact Guildford City Membership liz.simmons@gcsc.co.uk if you do not receive this acknowledgement.