Disability swimming development

Swimmers Registration

Disability Training 1st March 2025

East Region Disability Training Session Saturday 1st March 2025, New Hall School, The Avenue, Boreham, Chelmsford, Essex, CM3 3HS

Please state

Male

Female

Full name of athlete

East Region Aquatic Club

Date of Birth

Swim England Membership Number

Please state athlete’s disability

Classification

Medical conditions

Personal best for 25m Freestyle

Personal best for next best stroke

Is the athlete’s coach aware of their attendance at this event?

Yes

Please state coach’s name

Parent Name

Parent Email address

Contact number (in case of emergencies)

I give permission for Swim England East Region to store my data and contact me in relation to this event.

I have read and agree to Swim England East Region’s policies including the code of conduct and photography.

Payment

Price £ 15

Pay with Credit/Debit Card

Coach & Team Manager Registration

Disability Training 1st March 2025 Coach and TM

Please select which role you are signing up for

Coach

Team Manager

Disability Training day

Coach and Team Manager Registration

Saturday 1st March, New Hall School, Chelmsford, CM3 3HS

Please confirm you have the following in place (these are a requirement for this role);

A valid Swim England DBS check

Attendance at a Safeguarding workshop (within the last 3 years) showing on your Swim England record

Either a Team Manager certificate, or Coaching certificate showing on your record

Full name of Coach

Full name of Team Manager

Full name of Official

Swim England membership number

EAST REGION Aquatic Club

Please detail any relevant medical information, or disability information

Please provide a name and contact number to act as your emergency contact

I give permission for Swim England East Region to store my data and contact me in relation to this event.

I have read and agree to Swim England East Region’s policies including code of conduct and photography.

Regional Para Training

East Region Disability Training Session.

Disability Training day

Coach and Team Manager Registration

National Para-Swimming Engagement Workshop – TBC