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Swim22 online registration

Individual Registration

It is free to register with Swim22. Sign up now to receive your fundraising pack.

Registration form

Fields marked with an * are required.

Title:

* First name:

* Surname:

* Address line 1:

Address line 2:

* Town:

County:

* Postcode:

* Telephone number:

Mobile number:

* Email address:

Gender:

Date of birth:

At which pool will you do Swim22?:

How did you hear about Swim22?:

Would you like to receive a Diabetes UK Swim22 swimming hat?

Would you like to receive a Diabetes UK Swim22 swimming hat?YesNo

I am happy for Diabetes UK to contact me by email.

Diabetes UK takes data protection very seriously. We promise we will not pass your details on to any other organisations. If you do not wish to receive further information about the work of Diabetes UK and that of our trading company please tick the box.

Swim22 online registration

Individual Registration

Registration form

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