Trial Request

If you are interested in joining our swimming club please fill in the form below to register for a free trial. We will be in touch…

Swimmer Details

First Name

Known As

Last Name

Date of Birth

Our minimum age for new trials is 4

Gender

Home Phone Number

Mobile Phone Number

Email Address

Retype Email Address

Address Line 1

Address Line 2

Address Line 3

Town/City

County

Postcode

Medical Details

Swimming Experience

Swims For Other Club

ASA Number

Are You Human?