The Membership Form below needs to be completed by all athletes wishing to participate within the BGS Swimming Program during the 2019/2020 swimming season.

Families with more than one swimmer will need to complete a different survey for each swimmer.

This digital form is for GENERAL membership

Athletes wishing to RACE this year, will need to complete both GENERAL and COMPETITIVE membership forms.

COMPETITIVE membership forms can be found on the BGS Swimming website

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* 1. GENERAL Membership Type

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* 2. Swimmer Information

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* 3. Swimmer Date of Birth

Date / Time

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* 4. School Information

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* 5. If swimmer is currently attending Brisbane Boys Grammar School, please provide the information below

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* 6. If swimmer is enrolled to attend Brisbane Boy Grammar School in the future please detail the following;

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* 7. Please detail any medical conditions

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* 8. Parent or Guardian Information (if over 18, please provide Emergency Contact Information)

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* 9. Often tracking and correlating payments is difficult, when the payee/parent surname is different to the swimmer/child's name. If this is likely to occur, please add relevant information below.

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* 10. Please ensure you have accessed and read the following information?

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* 11. I agree to abide by the rules, regulations and policies of Swimming Queensland, Swimming Australia, the relevant Regional Swimming Association and the Brisbane Grammar Swimming Club, including Swimming Australia’s Anti-Doping, Member Protection and Privacy Policies (these are available at www.swimming.org.au).

I authorise BGS Swimming to use and disclose, to related and relevant bodies, any of my personal information that may be necessary to implement the rules, regulations and policies in 1 above. I agree to have my name and results published in official programs, newsletters and websites.

I am the parent or guardian of the minor named above and I have the legal authority to execute this release. For valuable consideration received, I give The Brisbane Grammar Swimming Club the irrevocable right to use photographs and video footage of the aforementioned child in all forms, media and manners, without restriction as to changes or alterations, for advertising, trade, promotion, research, training, exhibition, or any other lawful purposes to promote our aquatic related businesses. I waive any right to inspect or approve the photographs or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the photographs.

Members are encouraged to familiarize themselves with the BGS Grievance Handling Procedures - these are advertised on our website - bgsswimming.com.au

I understand that all matters relating to the operation of the BGS Swimming Program, in its entirety, are at the complete discretion of the Director of Swimming.

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* 12. I understand GENERAL membership is $99.00 for the 2019/2020 season.
This fee is payable via Credit Card, at the end of this survey.

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* 13. Admin Only

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