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What is your full name?
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What is your date of birth?
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What is the name of the adult contact (ie mum, dad, carer) so we know who to ask for if we call!
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What is your postal address? Please include postcode
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What phone number can we contact you on (landline preferred, please)?
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Please supply an email address for us to contact you
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Are you a member of another swimming club? If so, please state which one
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Are you water confident - ie can you put your face in the water, blow bubbles, jump in, move around without a float, etc?
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Are you confident in the Main Pool (ie deeper water, out of your depth)?
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Do you have any distance awards? If yes, please tell us which one and how long ago
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Do you have any National Plan for Teaching Swimming awards? If yes, please tell us which one and how long ago
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Do you have any Water Skills awards? If yes, please tell us which one and how long ago
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Do you have any Swimming Challenge awards? If yes, please tell us which one and how long ago
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Do you have any Diving Skills awards? If yes, please tell us which one and how long ago
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Do you have any other swimming awards, speed badges, lifesaving, etc? If yes, please tell us which one and how long ago
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These next questions are for parents/carers. Does your child have any medical conditions or disabilities that may affect them during their time with us, such as asthma, back problems, epilepsy, repeated ear infections, grommets, heart problems, lack of mobility in limbs or joints, breathing problems, hearing problems, etc? Please give details
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Does your child have any learning difficulties at school, behavioural problems, autism, ADHD, hyperactivity, etc? Please give details.
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Remember that we actively promote children of regular volunteers towards the top of the waiting list! Do you have any skills, contacts, knowledge, IT skills, fundraising ideas, or opportunities through employers, etc that you could offer the Club on a voluntary basis, even 10 minutes per week on an occasional basis? Please give us an idea of the type of help you will be able to offer
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I have read the rules of Broadstairs Lifeguard and Swimming Club (see the Club Rules page) and confirm my understanding and acceptance that such rules (as amended from time to time) shall govern my membership of the Club. I further acknowledge and accept the responsibilities of membership upon members as set out in these rules.
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I understand that membership subscriptions must be up to date or in advance for me to take part in the Clubs activities.
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Where did you hear about us - recommendation, newspaper report, noticeboard, search engine, etc
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