Register Interest to Swim Thank you for your interest in joining Warragul Swimming Club. Please complete the information below and the Club Secretary will contact you to provide further information about membership costs and registration procedure: Family name... Required Swimmers name... Required Phone... Required Email address... Required Date of birth Required Gender... Required Male Female N/A Please type the letters and numbers shown in the image. Click the image to see another captcha. PrivacyPrivacy: By signing this form you agree to your information being shared with members of the coaching team both internal and external to the club. Warragul Swimming Club values your privacy and disclosure of information will be to ensure the safety of our members and compliance with Swimming Victoria’s regulations only. By completing and submitting this document electronically, I (insert Full-Name) agree that the information provided is true and correct at the time of submission.