New Member Enquiry Form

Swimmers' Name (required)

Date of Birth (required)

Age

Where did you learn to swim ?

Finished swim level

Address:

Mother's name

Mother's telephone number

Father's name

Father's telephone number

Contact email address(required)

Are you or have you ever been a member of Claremorris or any other swimming club ?

yesno

If so, please specify which club :

Have you a brother or sister in Claremorris swimming club ?

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