Application


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Participants Registration Form

8-week Synchronised Swimming Starter Course

Please fill in the form below to apply for a place on a course or to request further information. Sessions at the Bristol University Pool start on Sunday 31st Jan 2010 from 2 p.m. - 2:30 p.m. The cost of a course will be £35, or £20 for existing Bristol Central club members

Your Contact Details


First Name

			Address

Town / City

				County

	Postcode

		E-mail


	Last Name

Phone Number(s)


	Daytime


	Evening (if different)


	Mobile


	Any other information you’d like, or comments to make? Add them here