Swimming academy application - entrance

Daughter's Name*

First Last

Daughter's Date of Birth*

Would you like your daughter to be considered for a Swimming Academy Scholarship?*

Yes

No

Proposed year of entry*

Talbot Heath School Status*

Boarding

Weekly Boarding

Day

Current Swim Club*

Swim England Membership Number*

Please list any medical conditions or allergies*

Epipen*

Yes

No

Inhaler*

Yes

No

Insulin*

Yes

No

Please list any medications not listed above*

Please list any injuries sustained in the past 2 years*

Please provide any additional information you feel may be beneficial for us to know*

If you are applying for Skill Development or Competitive Development Squads, we will return with a trial date and commencement details*

Skill Development Bronze

Skill Development Silver

Skill Development Gold

Competitive Development 1

Competitive Development 2

Competitive Development 3

Regional Performance Academy

National Performance Academy

Would you like your daughter to be considered for a Swimming Academy Scholarship?*

Yes

No

IF YOU ARE APPLYING FOR A PLACE IN THE REGIONAL OR NATIONAL ACADEMY OR FOR A SWIMMING ACADEMY SCHOLARSHIP, PLEASE COMPLETE ALL THE QUESTIONS BELOW IN FULL. IF YOU DO NOT ANSWER ALL QUESTIONS WE MAY NOT BE ABLE TO PROCESS YOUR APPLICATION.

If you are applying for any other squad, please scroll to the end of the form to complete the parental declaration.

Current Coach Name*

Current Coach Email Address*

Current Coach Phone Number*

Number of years with current coach*

Number of pool based hours per week*

How would you describe your current training programme – please tick all that apply*

High Intensity Race Pace Training

Aerobic/Volume Based

Mixed Race Pace/Volume Based

Outline your current weekly training programme*

Competition Highlights (past 2 years)*

Attitude towards setbacks (in no more than 100 words, please detail an example of how you have overcome a setback in order to succeed in a challenge (any hobby, sport, school time or life)*

Personal Statement – Express in no more than 100 words why you want to join the Talbot Heath Regional/National Swimming Academy*

Adding to the Squad – In no more than 100 words, express what qualities will your attitude bring to the training group?*

Person with parental responsibility

Please complete this section in full.

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent's Email*

Phone Number*

Date*

Talbot Heath Swimming Academy

School life

Parents, Pupil and staff Area

Charity

Junior school

Senior school

Sixth form

Swimming Academy Application – Entrance

IF YOU ARE APPLYING FOR A PLACE IN THE REGIONAL OR NATIONAL ACADEMY OR FOR A SWIMMING ACADEMY SCHOLARSHIP, PLEASE COMPLETE ALL THE QUESTIONS BELOW IN FULL. IF YOU DO NOT ANSWER ALL QUESTIONS WE MAY NOT BE ABLE TO PROCESS YOUR APPLICATION.

Person with parental responsibility

What are you looking for?