This page is now out of date, it will be replaced when arrangements for the 2009 season are finalized.
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| Postcode: | |
| e-mail: | Telephone No: |
| Emergency Contact No. | |
| Forename | Surname | Date of Birth | Adult | OFFICIAL USE ONLY | |
|---|---|---|---|---|---|
| Under 10 | 10 - 18 | ||||
| 1 | |||||
| 2 | |||||
| 3 | |||||
| 4 | |||||
| 5 | |||||
| 6 | |||||
| 7 | |||||
Note: Children under 10 years must be accompanied by an adult at all times.
Family membership fee is £27.00 which must be enclosed with this form. Cheques to be made payable to 'Polehampton Swimming Association'.
Send or take this form to:
Polehampton Junior School, Kibblewhite Crescent, Twyford, Reading, RG10
9AX.
Or to:
Jane Clark, 16, Kibblewhite Crescent, Twyford, Reading, RG10 9AX.
Method of payment: CASH_____CHEQUE_____PLEASE PAY BY CHEQUE IF POSSIBLE
If you are a U.K. tax payer please tick here _______, this enables us to reclaim your tax as gift aid.
Membership cards will be available for collection at the pool only.
POOL SUPERVISION.
The association is entirely dependent on voluntary pool-side help by members. Without the required level of help a session will be cancelled. If you can help, or require further information, please contact Sharon Baker on 0118 934 2040 if you can help in the afternoon or Lesley Jarvis on 0118 934 2374 if you can help in the evening.
Alternatively, if you are available for specific sessions, please complete the following.
Name____________________________Telephone Number____________________
I will help on a regular Weekly______Monthly______BiWeekly______ Basis.
| Term Time (6th May to 6th September) | Holiday Time (27th to 30th
May and 23rdJuly to 2nd September) |
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| Time | *** | Wed | Thu | ### | Time | *** | Wed | Thu | ### |
| 10.00-12.00a.m. | Saturdays only | 10.00-12.00a.m. | Saturdays only | ||||||
| 4.00-5.00p.m. | 2.00-3.00p.m. | ||||||||
| 5.00-6.00p.m. | 3.00-4.00p.m. | ||||||||
| 7.00-8.00p.m. | 7.00-8.00p.m. | ||||||||
*** Monday for 7.00 - 8.00p.m., Tuesday for all other
sessions.
### Saturday for 10.00 - 12.00a.m., Friday for all other
sessions.
If you can help on a specific day, or require further information, please contact:
| Sharon Baker | on 0118 934 2040 | for afternoon sessions. |
| Lesley Jarvis | on 0118 934 2374 | for evening sessions. |
