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©2022 Geographe Bay Swimming Club (Inc)

Proudly sponsored by:

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Geographe Bay Swimming Club

Join Us

Membership Form

THIS FORM MUST BE COMPLETED BY THE SWIMMER AND A PARENT OR GUARDIAN ONCE ACCEPTANCE OF YOUR APPLICATION HAS BEEN CONFIRMED. 

 ALL FIELDS MUST BE COMPLETED 

Completion of the online form below implies that that you are providing an electronic signature in place of a written signature on a paper form. If you would prefer to manually sign and return a paper form, one can be downloaded here. Completed paper forms need to be signed, scanned and e-mailed to the club secretary at secretary@geobayswimclub.com.au

 

All members are required to read the Club Handbook in order to understand and accept our Club Policies.

 

All Swimmers and Parents/Guardians must agree to abide by our Code of Conduct. 

 

Swimmers Name:

Swimmers Date of Birth:

Parents Name:

Contact E-mail Address:

Emergency Contact 1:

Emergency Contact 2:

Declaration

We have read the Club Handbook and understand all Club Policies

Declaration

We have read and accept to abide by the Code of Conduct

Photo Release

We give permission for the above swimmer to be included in photo or video media for GMAS Swimming Club (Inc) promotions or social media as outlined in the Club Handbook

Yes

No

Swimmers signature

Parent/Guardians signature

Send
Send
Form sent successfully. Thank you.
Please fill all required fields!
Swimmers Name:
Swimmers Date of Birth:
Parents Name:
Contact E-mail Address:
Emergency Contact 1:
Emergency Contact 2:
Declaration:
We have read the Club Handbook and understand all Club Policies
Declaration:
We have read and accept to abide by the Code of Conduct
Photo Release:
We give permission for the above swimmer to be included in photo or video
media for Geographe Bay Swimming Club (Inc) promotions or social media
YES
NO
Swimmers signature
Parent/Guardians signature
Send
Send
Form sent successfully. Thank you.
Please fill all required fields!
Swimmers Name:
Swimmers Date of Birth:
Parents Name:
Contact E-mail Address:
Emergency Contact 1:
Emergency Contact 2:
Declaration:
We have read the Club Handbook and
understand all Club Policies
Declaration:
We have read and accept to abide by the
Code of Conduct
Photo Release:
We give permission for the above swimmer
to be included in photo or video media for
Geographe Bay SwimmingClub (Inc)
promotions or social media
YES
NO
Swimmers signature
Parent/Guardians signature
Send
Send
Form sent successfully. Thank you.
Please fill all required fields!

Join Us