Trial Request | Devizes ASC

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DEVIZES AMATEUR SWIMMING CLUB

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Blue Pool Water

Trial Request

Swimmers Details

First Name

Last Name

Known as

Our minimum age for new trials is 5

Date of Birth

Gender

Medical Details

Swimmers Experience

Swims for other club?

Swim England Number

Contact Details

Your name

Relationship to Swimmer

Home Phone Number

Mobile Number

Email

Retype Email

House name / number

Street name

Town

County

Postcode

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