ONLINE APPLICATION
PARENT / GUARDIAN CONTACT DETAILS
RANK / TITLE
*
FIRST NAME
*
LAST NAME
*
BFPO ADDRESS
*
WORK TELEPHONE (INCL CODE)
*
HOME TELEPHONE (INCL CODE)
*
EMAIL ADDRESS
*
END TOUR DATE
CHILD DETAILS
FIRST NAME
*
LAST NAME
*
GENDER
MALE
FEMALE
*
DATE OF BIRTH
* DD/MM/YYYY
MEDICAL INFORMATION
SWIMMING HISTORY / ABILITY
IS YOUR CHILD A REGULAR SWIMMER ?
NO
YES
NAME OF PREVIOUS CLUB / ORGANISATION
BADGES / QUALIFICATIONS CURRENTLY HELD
ABILITY
NON SWIMMER (NOT CONFIDENT)
NON SWIMMER (CONFIDENT)
10m ONE / TWO STROKE(S)
50m TWO / THREE STROKE(S)
200m THREE STROKES
STRONG SWIMMER (GIVE DETAILS)
DECLARATION
1.
I am a serving member / entitled civilian resident in Rheindahlen Military Complex/Elmpt Station/BFG.
2.
I understand that, although the voluntary instructors and helpers will endeavour to provide all the possible supervision of members, they cannot accept responsibility or liability for members’ safety.
3.
Rheindahlen Swimming Club is not a crèche facility; as a parent I understand that I MUST remain at the club whilst my children are swimming.
4.
I
am / am not
willing to help in the following areas: (Poolside helpers are always required)
FRONT DESK
CHANGING ROOMS
POOLSIDE (HELPER OR QUALIFIED TEACHER)
I HAVE UNDERSTOOD AND AGREE WITH THE ABOVE DECLARATION
*
* Required Fields