New Members - Otter Swimming Club, London, UK

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Otter fees are £588 p.a but discounts are available for students and juniors. There is a one-off joining fee of £60.

Title :

Date of Birth :

First Name :

Known As :

Middle Name :

Surname :

House Num :

House Name / Flat Num :

Address 1 :

Address 2 :

Address 3 :

Post Town :

Post Code :

Home Tel : Office Tel :

Mobile : *Please provide at least one contact number

Emergency/Next of Kin Tel : *Next of kin contact number. Essential for entry to Shell.

Email :

Gender :

Occupation :

Swimmer/Waterpolo :

Competitor : Select Yes if you intend to compete in ASA sponsored competitions. Only applicable for swimmers.

Lane :

100 Free Time :

Fees

Membership Type :

Student :

Payment Frequency :

Amount Payable :