Junior Distance Weekend Application Please enable JavaScript in your browser to complete this form.Name *FirstLastAge *Please the junior swimmers ageBLDSA Membership NumberIf you are a BLDSA member for 2020 please enter your number. If you are not a member leave this entry blank Email *Contact Number *Please provide a contact number that we can call to discuss your application.Swim time for a mile *Tell us your swim time for a mile in this format hh:mm:ssSwim History *Tell us about any major swims you've done and what sort of training you do.Aims for 2020 *Tell us about any long distance swimming events you're doing in 2020. Please note, priority is given to those doing Loch Lomond, Windermere and channel swims.Any DisabilitiesPlease give details of any disabilities you think we need to be aware of.Name for Parent or Guardian *Please enter the name of the parent or guardian who will be accompanying the junior for the entire event. Checkboxes *I confirm the above named person will attend the entire Distance Weekend event EmailSubmit