Application For Membership

Either print this form off and post the completed form to Harry Green at:-

Flat 39
Thomas House
20 Grange Road
Sutton

or fill out the form and send it via Email by clicking the "Join the club" button at the end of the form

 

Childs Name:
Your Name:
Address:
Daytime Telephone:
Evening Telephone:
Email Address:
School:
Date of birth:
Can you swim?	If so how far:
Are you already a member of a club?	If yes which club?
Are you happy for your child's picture to appear on the club website?

I hereby apply for Membership of Merton Pisces West Park Swimming Club and if I am accepted agree to abide by the Club Rules.

Signature:___________________________ (Parent to sign for child if under 12 years)
Date: ____________
(Note signature only applies to postal applications)