Registration | Fauldhouse Penguins SC

Please take a few minutes to complete our club registration form (below) for each child you have swimming at the club.

This information is extremely important for us to hold and keep up to date; primarily for the safety and well-being of our swimmers – so that we can contact you in case of an emergency, but also to keep you informed about what is happening within the club.

We would recommend that if there is any specific health or behavioral information that the coaching staff or club needs to be aware of, in addition to completing this form, you should pick this up in a conversation directly with the coaches or appropriate person.

Please visit our privacy policy for information about how we intend to use the information collected in this form, for the safety of our swimmers, but also to communicate relevant information about our swimming club with you.

Thank you for your cooperation and help.

Club Registration Form

Swimmer's Name (required) *
Swimmer's Date Of Birth (required) *
SASA Number (required)
Swim Squad / Class (required) *
Parent or Guardian's Name (required) *
1st Line Address (required) *
Town / City (required) *
County / District (required) *
Postcode (required) *
Home Phone Number (required) *
Mobile Phone Number (required) *
Email (required) *
MEDICAL INFORMATION
Does the swimmer have any medical conditions we should know about? (required) * YesNo
Medical Conditions / Allergies
Tell us about any relevant medicines that the swimmer takes, and that we should know about...
Medication 1
Medication 2
Medication 3
Medication 4
Medication 5
EMERGENCY CONTACTS (please provide 2)
1. Emergency Contact Name (required) *
Relationship to swimmer (required) *
1st Line Address (required) *
Town / City (required) *
County / District (required) *
Postcode (required) *
Home Phone Number (required) *
Mobile Phone Number (required) *
2. Emergency Contact Name (required) *
Relationship to swimmer (required) *
1st Line Address (required) *
Town / City (required) *
County / District (required) *
Postcode (required) *
Home Phone Number (required) *
Mobile Phone Number (required) *

Finally, please confirm who you are below.

Your Name *

Date of submission *

By submitting this form you are confirming that, to the best of your knowledge, all the information contained in it is accurate.

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Please confirm below, by ticking the consent box, that you are happy for us to use your contact details and information provided to communicate with you and to help manage the welfare of our swimmers. Full details of how we intend to use your personal information can be found in our Privacy Policy at the bottom of this page. We will never share your personal details with a 3rd party without your express permission.

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Finally, please tick each of the boxes below, confirming that you and the children under your care have read and are happy to adhere to the club code of conduct policy for althletes and parents / spectators.

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Consent for Fauldhouse Penguins to use the information provided for the purposes of communication and swimmer safety

Confirmation that myself and swimmer(s) under my care have read and understand the Fauldhouse Penguins Code Of Conduct policies for athletes and parents / spectators