New Member Registration for Bingley ASC

Please Note

If you've been to one of the trials and the coaches have confirmed that you're eligible to join the club, please complete the Membership Form below. The information given will only ever be used in relation to the running of the club, which will include passing information to Swim England to enable you membership to be completed.

Please note: For members under the age of 18 the mobile number and email address given should be that of the main contact. When arranging training sessions please ask if you want club emails to go to two email addresses in future.

Member Details

First Name

Known As

Last Name

Date of Birth

Gender

Home Phone

Mobile Phone

Address 1

Address 2

Address 3

Town

Postcode

Primary Contact Name

Relationship To Member

Ethnicity

Emergency Contact Person 1

Emergency Contact Phone 1

Emergency Contact Person 2

Emergency Contact Phone 2

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?

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.

Code of Conduct

You must agree to the following:

Bingley Swimming Club - Code of Conduct

Bingley Swimming Club has a 'Code of Conduct' for swimmers and their parents / guardians. This has been introduced to ensure the safety and wellbeing of all members of the Club. We would request that everyone reads the attached document that refers to them and adheres to the rules and regulations detailed therein.

We are blessed by exemplarily standards of behaviour within the Club and through communicating these expectations we would like to think that these standards will be maintained in future.

All swimmers and parents are expected to read the code of conduct when they join the club and abide by them at all times.

Please click on the links below to download our Code of Conducts.
Code of Conduct for Swimmers
Code of Conduct for Parents, Guardians & Carers
Code of Conduct for Coaches and Club Officials

Please note that the Parents / Guardians of swimmers are prohibited from entering the changing rooms during the 10 minutes before and after each training session!

Agree Code of Conduct

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

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