Please provide the details below to register with Nottingham Leander Swimming Club for a trial.
Note: Masters Swimmers and Water Polo players do not have to go through the trial process.

Nottingham Leander Swimming Club will use your personal data to support your involvement in the activities of the Swimming Club.   By submitting this form, you are consenting to receive information about the swimming club, training sessions and competitions by post, email, text, online or phone.  Your data will not be used for any other purpose.

Swimmer Details

First Name

Known As

Last Name

Date of Birth

Gender

Select gender Male Female

Swimmer is under 18

Please complete this extra information because the swimmer is under 18 - Phone number and email should also be for Primary Contact

Primary Contact Person

Relationship To Swimmer

Home Phone Number

Mobile Phone Number

Email Address

Retype Email Address

Address Line 1

Address Line 2

Address Line 3

Town/City

County

Postcode

Medical Details

Swimming Experience

Swims For Other Club

ASA Number

Please Select The Disciplines You Are Interested In

Masters

Swimming

Synchronised Swimming

Waterpolo

Are You Human?

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