Trial Request

If you would like to trial with Newport Pagnell Swim Club please fill out the form and we will get back to you to arrange trial details.

Swimmer Details

First Name

Known As

Last Name

Date of Birth

Our minimum age for new trials is 3

Gender

Home Phone Number

Mobile Phone Number

Email Address

Retype Email Address

Address Line 1

Address Line 2

Address Line 3

Town/City

County

Postcode

Medical Details

Swimming Experience

Swims For Other Club

ASA Number

Please Select The Disciplines You Are Interested In

Masters

Swimming

Learn to Swim

How did you find us?

Where did you hear about us?

Please let us know how you heard about Newport Pagnell Swim Club

Are You Human?