RMSC -Waiting List registration form.

RMSC Waiting List registration form. Please submit one per child.
RMSC is run by volunteers and can only continue with new volunteers both on Poolside and for admin work. Please indicate if you can help with any of the following .
Please indicate if you can offer assistance in any other way.
Indicate your childs possible interest with regard to swimming.
Parents Name

First NameMiddle NameLast Name
Childs name

First NameMiddle NameLast Name
Birth Date

DayMonthYear
Age (Years)
Age (months)
Address

Street Address

Street Address Line 2

TownCounty

Post CodeCountry
Home Phone Number

Area CodePhone Number
Mobile number
E-mail
School Attended
Describe how far your child can already swim. Explain if this is meters or lengths
Course attended( if any) Swim Stockport, etc
Any other awards
No child is excluded from membership of the Club on the grounds of health, minor learning difficulties/disabilities, but it will be helpful to know if your child has any problems that may have an effect on learning, so that we can do our best to accommodate him/her. If you would rather not provide information here but would prefer to talk in confidence please request this here and you will be contacted.
Should be Empty:

RMSC Waiting List registration form. Please submit one per child.