Disability swimming development

Disability Training 10th November 2024

East Region Disability Training Session Sunday 10th November 2024 at Whitehill Rd, Cambridge CB5 8NT from 11.30am – 3.15pm

Please state

Male

Female

Full name of athlete

East Region Aquatic Club

Date of Birth

Swim England Membership Number

Please state athlete’s disability

Classification

Medical conditions

Personal best for 25m Freestyle

Personal best for next best stroke

Is the athlete’s coach aware of their attendance at this event?

Yes

Please state coach’s name

Parent Name

Parent Email address

Contact number (in case of emergencies)

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 the code of conduct and photography.

Payment

Price £ 15

Pay with Credit/Debit Card

Disability Training Coach and Team Manager Sign-up 10th November 2024

East Region Disability Training Session Sunday 10th November 2024 from 11.30am – 3.15pmpm at Abbey Leisure Complex, Whitehill Road, Cambridge CB5 8NT

Please select which role you are signing up for

Coach

Team Manager

Please confirm you have the following in place (these are a requirement for this role);

A valid Swim England DBS check

Attendance at a Safeguarding workshop (within the last 3 years) showing on your Swim England record

Full name of Coach

Full name of Team Manager

Swim England Membership Number

East Region Aquatic Club

Please detail any relevant medical information, or disability information

Please provide a name and contact number to act as your emergency contact

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 the code of conduct and photography.