2024 Open Water Championships Medical Information

This form is to allow you to let us know of any medical condition that may affect your participation in the event.

2024 Open Water Championships Swimmers Medical information

Sunday 14th July 2024 - Whittlingham Adventure, Norwich, NR14 8TR

First Name

Last Name

Contact Email Address

Swim England Membership Number

Club

Which event are you swimming in

Is this updating a previous form?

Yes

Medical Information - including any allergies to latex

Name of Emergency Contact & Relation to you

Emergency contact number:

I give permission for Swim England East Region to store my data and contact me in relation to this event.

I have read and agree to Swim England East Region's policies including code of conduct and photography.