Registration Form

Before registering please ensure:

  • You’ve read & understood all the conditions of entry
  • You can swim at least one length (25 metres)
  • You’ve tried to create a team, if you don’t have a team we will offer you a team to join.
  • You’ve got a payment method ready (Credit Card / Debit Card / Paypal)

If you are entering a team you should ask each member of the team to complete a separate registration, or, if this is difficult to arrange, please list the team members’ names, ages if under 16, and any medical information in the space for special requirements on the form.

Alternatively, you can complete the form below but click ‘Offline Payment’ & make payment (Cheque / Cash) to a member of The Rotary Club of Chipping Norton or deliver to Nick Fane (Chipping Norton Rotarian) 3 Merchants Place, Chipping Norton, OX7 5UH. Cheques should be made payable to The Rotary Club of Chipping Norton (Trust Fund).

If you prefer to print out a form & complete it by hand then please download our Chipping Norton 2017 Registration Form.

Please read these documents: Conditions of entryGuidance for Team Captains & Swimmers.

We’ve also created PDF versions of our Sponsorship Forms open with Free Adobe PDF reader or download and print the Microsoft Office paper version of this form.

Team or Individual Registration

Please provide a name and contact number of someone who could be contacted in case of an emergency on the date of event

Registration Fee Explained

£5 per individual, either pay for yourself only or group together and pay together
Select Payment Method

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Personal Info

Donation Total: £5.00

Payment (via secure Paypal) is made to Nicholas Fane (Chipping Norton Rotarian) – who will then pass the money on to The Rotary Club of Chipping Norton. Alternatively please select ‘offline payment’ on the above form and make cheques payable to ‘The Rotary Club of Chipping Norton’ then deliver to Nicholas Fane (Chipping Norton Rotarian) 3 Merchants Place, Chipping Norton, OX7 5UH.

Entry forms must be returned with the full registration fee which secures your place in the Swim-a-Fun, plus a drink and light refreshment and a medal on completion.

This registration confirms that you agree to any photography/filming that may take place at this event. The images/ film could be used for Rotary’s/ GLL(BETTER)’s marketing materials, website, local press and any other relevant promotional materials. They will not be issued to another agency for use outside of Rotary’s/ GLL(BETTER)’s control.

Please ensure you get to the venue in good time on the day. Please arrive 30 minutes before your start time, to check in, change and meet your fellow team members.

Change of plans? If you can’t come, you must tell your team leader or us BEFORE the day. You must not ‘give’ your place to anybody else.

Registration fees are non-refundable.

You must register for this event – you cannot enter on the day. Closing date 25th March 2017.

Please ensure you’ve read the full registration form and conditions before the day.