Registration Form Registration Form BSC New member Registration Form Swimmers Name* First Last Date of Birth* DD slash MM slash YYYY Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Male or Female*MaleFemaleParent/Guardian Details* First Last Relationship to Swimmer*Phone*Email* Consent*Yes I give permission for my child to be photographedNo I do not consent for my child to be photographedThird ChoiceBSC will from time to time take photographs of the swimmers to be used on our Club social media channels including instagram, Facebook and our website.