SportPark, Pavilion 3, SportPark, 3 Oakwood Drive,
Loughborough University, Leics LE11 3QF

9:30am – 12:30pm

Course price: FREE

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* 1. Name

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* 2. Date of Birth

Date / Time

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* 3. Swim England Membership Number
Most can be found here: https://swimmingresults.org/membershipcheck/

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* 4. Club

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* 5. Home Address

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* 6. Email for all Correspondence

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* 7. Emergency Contact Name

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* 8. Emergency Contact Phone Number

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* 9. Any special requirements?

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* 10. I consent for my child to attend the Young Aquatic Helper Workshop on Sunday 8th September at SportPark, Loughborough.

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