WELCOME TO BRIDGWATER AMATEUR SWIMMING CLUB’S MEMBERSHIP FORM FOR USE FROM DEC 2021.

USE THIS FORM TO JOIN BASC FOR THE FIRST TIME AS EITHER A SWIMMER OR A PARENT/VOLUNTEER, OR USE THIS FORM TO RENEW YOUR CURRENT MEMBERSHIP.

CURRENT MEMBERSHIP CATEGORIES…..

CLUB TRAIN (£27) – This is all swimmers who are joining, or are part of our Pre-Squad and includes Junior Link Squad.
CLUB COMPETE (£37) – This is all swimmers who are joining, or are part of our Junior Squad, Squad or Performance Squad.
CLUB SUPPORT (£12) – This is for Parents/Guardians/Volunteers who either have a Club Compete member at the club or are part of the club to assist in it’s running.

PLEASE COMPLETE THE FORM VERY CAREFULLY, IF RENEWING WITHOUT CHANGING ANY DETAILS THEN YOU CAN SKIP ALL OF PART 3.

** PART 2 ** CHECK WHICHEVER BOX APPLIES TO THE MEMBER *

** NEW MEMBERSHIP** I’M A NEW BASC MEMBER AND WILL COMPLETE ALL REMAINING PARTS OF THIS FORM
** RENEWING ** NO DETAILS HAVE CHANGED FOR ME – PLEASE RENEW BASED ON INFORMATION ALREADY HELD BY BASC. I’LL IGNORE ALL OF ** PART 3 ** OF THIS FORM
** RENEWING ** SOME DETAILS HAVE CHANGED – I’LL COMPLETE ALL REMAINING PARTS OF THIS FORM

** PART 3 **…..MEMBERS DATE OF BIRTH

** PART 3A **…..MEMBERS GENDER

Male
Female

** PART 3C **….Home Address (include postcode please)

** PART 3D **….Health: Please give details of any Health Problems or Disabilities: e.g. Asthma, hearing, eyesight or any other disability.

Leave blank if not applicable

** PART 3E **…..If you are in a disabled swimming category please state here.

Leave blank if not applicable

** PART 4 **…..I have read the privacy policy referred to above this form and consent to the processing of my data as outlined in that policy. *

I agree

** PART 4A **…..I consent for my email as given above to be the main form of communication from the club. We will send useful information, including our newsletters, information about membership, events, products and relating to swimming events or information which you have requested from us. *

I agree

** PART 4B **…..I consent to the processing of special category personal data on the basis of reasons outlined in our privacy notices (health and safety of members, safety during trips/galas). *

I agree

** PART 4C **…..I consent for my/my child’s image or a video of me/my child to be used in promotion of the club, in news articles, website and on the closed Facebook site (Bridgwater Swim) *

I agree

** PART 4D **…..Club rules and Codes of Conduct: I acknowledge receipt of the rules of the club and codes of conduct and confirm my understanding and acceptance that such rules (as amended from time to time) shall govern my membership of the Club. I further acknowledge and accept the responsibilities of membership upon members as set out in these rules. Please refer to the club website (http://bridgwaterswim.co.uk/forms-documents/) for codes of conduct. *

** PART 4E **…..For parents/carers of members under 18 years, it may be essential at some time for the 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 or event. Would you therefore please re-type your name as parent/guardian (or swimmer only if 18 or over) to give your consent. I being the parent/carer of the above named child hereby give permission for the coach or team manager to give the immediately necessary authority on my behalf for any medical or surgical treatment recommended by competent medical authorities, where it would be contrary to my son/daughter’s interest, in the doctor’s medical opinion, for any delay to be incurred by seeking my personal consent. *

** PART 4F **…..IS A PARENT/GUARDIAN MEMBERSHIP ALSO REQUIRED? *

THIS DOES NOT APPLY AS THIS MEMBERSHIP FORM IS NOT FOR A CLUB COMPETE MEMBER
I understand my Parent/Guardian will also have to complete a membership form and the additional cost is £12

It is a mandatory requirement for all under 18 Club Compete members who are in BASC’s Junior, Squad and Performance to also have a parent/guardian take out a membership.

** PART 5 **…..Date of Signing this form *

** PART 5A **…..I confirm the name of the person signing this form above agrees that their name stated constitutes a digital signature. *

Agree, this form has been digitally signed by person named above

** PART 5B **…..NATIONAL ELIGIBILITY DECLARATION (please read info below checkboxes) *

THIS MEMBERSHIP FORM IS FOR A CLUB SUPPORT MEMBER SO THIS DOES NOT APPLY
THE SWIMMER NAMED ON THIS MEMBERSHIP FORM MEETS THE REQUIREMENTS IN THE STATEMENT BELOW AND IS ELIGIBLE TO SWIM FOR ENGLAND.
THE SWIMMER NAMED ON THIS MEMBERSHIP FORM IS NOT CURRENTLY ELIGIBLE TO SWIM FOR ENGLAND (Please indicate in ** PART 5C ** which country the swimmer is eligible to swim for if selected).

Anyone wishing to swim for England shall be a citizen of the United Kingdom, the Channel Islands or the Isle of Man and have been born in England, or have had at least one parent who was English by birth or be a naturalised citizen of the United Kingdom and have been continuously resident in England for a period of at least twelve months.

** PART 5C **…..ONLY COMPLETE THIS BOX IF SWIMMER IS NOT ELIGIBLE TO SWIM FOR ENGLAND IF SELECTED

Country swimmer would be eligible to swim for if selected (if not England). Leave blank if eligible to swim for England if selected.

Comment

BASC

A friendly and competitive swimming club since 1894

2022 BASC MEMBERSHIPS

WELCOME TO BRIDGWATER AMATEUR SWIMMING CLUB’S MEMBERSHIP FORM FOR USE FROM DEC 2021.

USE THIS FORM TO JOIN BASC FOR THE FIRST TIME AS EITHER A SWIMMER OR A PARENT/VOLUNTEER, OR USE THIS FORM TO RENEW YOUR CURRENT MEMBERSHIP.

PLEASE COMPLETE THE FORM VERY CAREFULLY, IF RENEWING WITHOUT CHANGING ANY DETAILS THEN YOU CAN SKIP ALL OF PART 3.