To book a place on this workshop please fully complete all of the form. These workshops are for members of Swim England Clubs in the South West Region aged 16 years and above. 

There is a fee of £10 to attend these workshops, this needs to be paid via the payment page which will appear when you submit your booking. 

Any bookings without payment will be removed from the system. 

No cancellations or amendments will be accepted less than 14 days before the course date. 

Once your place has been confirmed, a month before the course start you will receive full details from Swim England South West Region and the course tutor Joy Retter. 

Please make a note of the workshop you have booked into upon completing this page as you will not receive an email following submission of this form. 

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* 1. Candidate First Name

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* 2. Candidate Surname

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* 3. Candidate Date of Birth

Date

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* 4. Candidate Gender

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* 5. Swim England Membership Number

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* 6. 1st Line of Address

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* 7. Town/City

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* 8. County

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* 9. Postcode

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* 10. Candidate Email Address

By clicking submit you are confirming that all the information provided on this form is correct. We will be checking all Swim England Membership numbers are correct. Please ensure you are using your own number and not someone else's.

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