BN Open Swim Nights | Registration

Please complete this form to register to attend.

*(denotes required field)

Name:*

e-mail*

Preferred telephone number:*

Date Attending:*

Saturday 18th February 2012 – 7pm till 9 pm
Saturday 3rd March 2012 – 7 pm till 9 pm

If you plan to bring another person please register their name with us

Friend or Partner's Name

If you plan to bring children, please tell us their names. We only allow children to attend with their own parents or with advance written authority from them.

Child's Name 1

Child's Name 2

Child's Name 3

Please tell us how you first heard of us and provide any other information.*

Please enter the security code below.*

Contact Us

Members

BN Open Swim Nights | Registration

Please complete this form to register to attend.