Membership Join / Renewal 2024

Application Type

New Member

Renewal

Membership Type

Are you a member of another SE affiliated club?

No

Yes

Name(s) of other SE affiliated club(s)

Is Barrow ASC your ‘Primary’ fee paying club?

Yes

No

I would like to apply for the following membership

Active Barrow ASC Swimmer – Squad Fee Paying (Under 9yr Old on 31st Dec 2023) ‘SE Club Train’

Active Barrow ASC Swimmer – Squad Fee Paying (Over 9yr Old on 31st Dec 2023) – Competitive – ‘SE Club Compete’

Active Barrow ASC Swimmer – Squad Fee Paying (Over 9yr Old on 31st Dec 2023) – NON Competitive – ‘SE Club Train’

Parent/Guardian with Active Squad Fee Paying Barrow ASC Swimmer – (18/Over) – ‘SE Club Support’

Active Barrow ASC Volunteer – Barrow Coach / Barrow Poolside Helper (18/Over) – ‘SE Club Support’

Active Barrow ASC Volunteer – Barrow Official (18/Over) – ‘SE Club Support’

I would like to apply for the following membership.

Active Barrow ASC Swimmer – Squad Fee Paying (Under 9yr Old on 31st Dec 2023) ‘SE Club Train’

Active Barrow ASC Swimmer – Squad Fee Paying (Over 9yr Old on 31st Dec 2023) – Competitive – ‘SE Club Compete’

Active Barrow ASC Swimmer – Squad Fee Paying (Over 9yr Old on 31st Dec 2023) – NON Competitive – ‘SE Club Train’

Parent/Guardian with Active Squad Fee Paying Barrow ASC Swimmer – (18/Over) – ‘SE Club Support’

Active Barrow ASC Volunteer – Barrow Coach / Barrow Poolside Helper (18/Over) – ‘SE Club Support’

Active Barrow ASC Volunteer – Barrow Official (18/Over) – ‘SE Club Support’

Have you trained and paid squad fees within the last 6 months? – Or are you a new member?

Yes

No

Do you have a child swimming at the club?

Yes

No

Have you helped poolside or officiated poolside at a ‘Barrow’ session within the last 6 months?

Yes

No

Cost of Membership

Payment *

I confirm I will pay for my membership online using PayPal

Fees

Outstanding Fees

I confirm that I have no outstanding fees. (Either squad fees for your child or fees relating to courses which you have undertaken)

Member Details

Details must match details currently held and registered on Swim England

Title

Forename *

Surname *

Date of Birth *

SE Number

Gender *

Open/Male

Female

Competing Gender *

Open/Male

Female

Choose the gender you wish to use to enter events.

Primary Email Address (Swim England Registered and for Communications) *

Additional Email Address (for communications)

Address

Current Home Address *

My Home address is unchanged and is the same as previously advised.

My Home address has changed.

Address

Contact Details

Home Phone No *

Mobile Phone No *

All Members

Swim England Code of Ethics *

I have read and accept the SE Code of ethics and explained them to my child, or in the case of a Cat 3 Member I accept them.

Privacy Policy *

I have read and accept the clubs privacy policy

Visit: https://www.barrowasc.co.uk/member-information/policies/privacy-policy/ to read latest version.

Click Here to Read – Swim England Code of Ethics

Data Consent *

I consent to Barrow ASC processing my personal data.

Data Choice

I would like my details to be hidden on Swim England Website Note: If your details are hidden any swimmer times and qualifications will not be shown and it may affect you being picked for courses and team events. In the case of coach / officals members it may affect your eligibility to attend certain events as your details will not be able to be validated.

Sharing of your Data

Yes

No

If you have a volunteer role , can we share your data & qualifcations with Cumbria ASA and/or volunteer co-ordinator to help track the progress of volunteers within the county.

Swimmers

Current Squad

D Squad

B Squad

A Squad

Child Photography Parental / Guardian Consent

I consent to the use of photography to assist the clubs coaches to assess training and stroke technique

Publicity

I consent to the club using photographs of my child / myself to promote the club.

Code of conduct for swimmers

I have read and accept the Code of Conduct for swimmers and have explained them to my child

Click Here to Read – Code of conduct for swimmers

Swim Data Choice

I would like my swim times to be hidden on the club website ranking system on www.barrowasc.co.uk

Coaches, Teachers and Poolside Helpers

Code of conduct for Coaches, Teachers and Poolside Helpers

I accept the code of conduct for Coaches, Teachers & Poolside Helpers

Safeguarding

I agree to undertake a safeguarding and protecting children course as required.

DBS Check

I agree to undertake a relevant DBS check as required.

Click Here to Read – Code of Conduct for Coaches, Teachers & Poolside Helpers

Swim England – Wavepower

WavePower *

I agree to the policies within Swim England WavePower 2024

Barrow ASC has adopted Swim England WavePower, Wavepower is to safeguard all children in line with current legislation, regulations and guidance and is for use within any Swim England affiliated organisation where children are present. Wavepower can be found on our website HERE

Medical Declaration

Family GP

Family GP Telephone

Do you have any specific medical conditions requiring medical treatment and/or medication *

No

Yes

e.g. epilepsy, asthma, diabetes, allergies, etc.

Medical Conditions Details

Do you suffer from asthma *

No

Yes

if you take medication for asthma, (and you are a registered competitor) you are required to complete an ASFGB Medical Declaration Form annually

Do you take medication *

No

Yes

Medication Details

The Equality Act 2010 defines a disabled person as anyone with a physical or mental impairment that has a ‘substantial’ and ‘long-term’ negative effect on his or her ability to carry out normal daily activities. Do you consider this child to have an impairment *

No

Yes

Please give details: (eg, Visual impairment / Learning disability / Hearing impairment / Physical disability / Multiple disability / Other (please specify) )

It may be essential at some time for the club coach or team manager accompanying your son/daughter to have the necessary authority to obtain any urgent treatment which may be required whilst at a competition with Barrow ASC. I give permission for the Coach / Team manager to give immediate necessary authority on my behalf for any medical or surgical treatment recommended by competent medial authorities, where it would be necessary.

Agree

Disagree

Parent

Are you completing this on behalf of your child *

Yes

No

I agree to pay squad fees in full each month, in the event of fees not paid in full the club / committee can seek to recover unpaid fees for a period of up to 5 years.

Yes

Name of person completing this application

Relationship to member