Join Dereham Otters

Are you interested in joining our club?

In order to join, we require swimmers to participate in a trial session so that our coaches can evaluate the swimmer’s readiness to join a competitive club.

Please complete the below form and one of our coaching team will be in contact to arrange a trial session.

Parent or Guardian Details

Name *

First

Last

Email *

Home Phone *

child Your of

Mobile Phone

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Your relationship to the child

Parent or legal guardian
Other

Child's Details

Name of child to trial *

First

Last

Known As

Child's gender *

Male
Female
Other
Prefer Not to Say

Date of Birth *

Medical Details

Please let us know if there are any medical details we should be aware of

Swimmers Ability

Please include as much info as possible, including current classes or squads, Stages achieved and any background info about their swimming history

I confirm the swimmer can swim 25m in deep water *

As our sessions are in a 25m pool with depth of up to 1.8m, it is recommended swimmers have passed Stage 6 of the NPTS (National Plan for Teaching Swimming)

JOIN US TEST

Join Dereham Otters

Parent or Guardian Details

Child's Details