Update/Renew Membership Form

Please Complete The Form Below

For verification reasons you must enter your ASA number and full name. Without these any submission will be rejected.

Full Name

* Indicates required field

Please enter your name *

First

Last

Your A.S.A. Membership Number

You will have received this number when you first joined a swimming club. You can also find your number on the Swim England Membership page: https://www.swimmingresults.org/membershipcheck/ . Please see a member of your club committee or coaching team for more information. *

Contact Details & Emergency Contact Details

Please enter your up to date contact details and emergency contact details (Email, Phone and address). If you are under 18, these details must be of a parent(s) or legal guardian(s) who are over 21 years of age. *

Medical Conditions

Please update your medical details including any medical conditions you had in the past. If none enter 'n/a'. *

Swim Sessions Per Week

[email protected] *