Home Page
Swimming Courses
STA Octopus 1
STA Octopus 2
STA Octopus 3
STA Goldfish 1
STA Goldfish 2
STA Goldfish 3
STA Angelfish 1
STA Angelfish 2
STA Angelfish 3
STA Shark 1
STA Shark 2
STA Shark 3
STA Water Safety Bronze
STA Water Safety Silver
STA Water Safety Gold
Calendar
Pool Plan
Distance Swimming
Club Contacts
Apply to Join
Tuesday's 6:30pm - 8:30pm
Yateley School Pool
Online Waiting List Application Form
Date of Application:
*
Please fill the required field.
First Name
*
Please fill the required field.
Last Name
*
Please fill the required field.
Parent / Guardian's Name:
*
Please fill the required field.
Address:
*
Please fill the required field.
Town
Post Code:
*
Please fill the required field.
Email Address
*
Please fill the required field.
Date of Birth of child:
*
Please fill the required field.
Telephone Number:
Mobile Number:
*
Please fill the required field.
Swim Ability ?
*
Beginner Swimmer
Improver Swimmer
Advanced Swimmer
Please fill the required field.
Any Badges previously achieved ?
Additional Swim Ability Notes ?
Youth Organisation ? (IE: 7th Farnborough Scouts, 1st Farnborough Brownies or none)
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
I agree that I am happy for my child's personal information to be held on a computer database only accessed by the committee of Rushmoor Youth Swimming. I am also happy to be contacted by a committee member to be offered a space for my child within Rushmoor Youth Swimming.
Send Message
site menu
Home Page
Swimming Courses
STA Octopus 1
STA Octopus 2
STA Octopus 3
STA Goldfish 1
STA Goldfish 2
STA Goldfish 3
STA Angelfish 1
STA Angelfish 2
STA Angelfish 3
STA Shark 1
STA Shark 2
STA Shark 3
STA Water Safety Bronze
STA Water Safety Silver
STA Water Safety Gold
Calendar
Pool Plan
Distance Swimming
Club Contacts
Apply to Join
Here at Rushmoor Youth Swimming we use cookies to ensure that we give you the best experience on our website. Providing you agree you will need to click to agree to accept.
I accept
