Membership form Maryborough Swimming Club Membership form Membership Form X/TwitterThis field is for validation purposes and should be left unchanged.This field is hidden when viewing the formNext Steps: Install the User Registration Add-OnThis form requires the Gravity Forms User Registration Add-On. Important: Delete this tip before you publish the form.Swimmer Name(Required) First Last Date of birth of the Swimmer(Required) Name of primary contact person/s (parent/s or guardian/s)(Required) First Last Primary Contact Number(Required)Primary Email address(Required) Secondary Contact person(Required) First Last Secondary contact number(Required)Please tick any of the medical conditions below that are relevant(Required) Asthma Severe Allergies/anaphylaxis Hearing and sight impairments Current injuries No medical conditions Other If "Other" selected please provide detailI am joining the Maryborough Swimming Club for:(Required) Fitness Fun with Friends To improve stroke technique To compete Swimming Australia National Integrity Framework consent(Required) I understand that Maryborough Swimming Club abides by the Swimming Australia National Integrity Framework (NIF) and that my participation is subject to those policies and standards of conduct. (These include: Safeguarding Children and Young People Policy, Participant protection policy, Competition manipulation and sports betting Policy, improper use of Drugs and Medicine Policy and Complaints, Disputes and Discipline Policy, as amended from time to time)MSC Code of Conduct(Required) I have read the Maryborough Swimming Club Code of Conduct policy and agree to adhere to the Club etiquette and valuesMSC Child Safeguarding Procedure(Required) I have read the Maryborough Swimming Club Child Safeguarding Procedure and agree to abide by their requirementsSwim Central Registration(Required) I understand that Swimming Victoria Membership is required to be a member of the Maryborough Swimming Club. This needs to be completed prior to commencing training. The swimmer has been registered (this is found through Swim Central)I consent to photos and images of my swimmer being used on the Club's website, Team App, Facebook and other promotional material(Required) Yes No If I have a valid WWC (or are required to hold a valid WWC)-I have forwarded the information to the club secretary(Required) Yes No N/A
