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Orion Trial Enquiry Form
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You should not enter any sensitive information on this page such as health data, passwords or social security numbers. If you are being asked or need to provide this information for your registration please contact Orion Swimming Club Birmingham directly.
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Orion Trial Enquiry Form
Please fill out this form if you are interested in a joining the club. We will schedule a time for you to come along and participate in a trial session where your swimming abilities will be assessed to see which group would be most suitable for you.
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Contact Email Address:
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Contact Name:
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Contact Phone Number:
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Swimmer Name:
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Swimmer Date of Birth:
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Learner’s Ability – If you consider your swimmer to be a learner please indicate their level
Complete Beginner
Is confident in water without floatation aids
Swims but uses floatation / swimming aids
Can swim a few strokes 0-15m
15m + (please fill inmate details below)
What is your swimmer’s level of Swimming Ability?
Front crawl
Backstroke
less than 25m
0-25m
25 - 50m
25-50m
50-100m
50-100m
100m+
100m+
Breaststroke
Butterfly
0-25m
0-25m
25-50m
25-50m
50-100m
50-100m
100m+
100m+
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Competitive swimming – If your swimmer has taken part in any competitions please indicate to what level
Inter-club Gala
Regional Championships
School Gala
National Championships
County Championships
Disability / Para Swimming – Please indicate which group if you think this is relevant to your swimmer
Intellectual
Hearing
Already Classified - Add Class to any other details please
Physical
Visual
Any other details:
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