/ Changing 1st and/or Nominating or Changing2nd Claim Club / Form Reference R5.2.1
Membership No:

Declaration by Applicant(Swimmer)

Forename: / Surname: / Title:
DOB: (dd/mm/yyyy) / Gender: / Male / Female
Postcode: / House No:
Address:
Current 1st Claim Club:
Change my 1st Claim Club to:
(Declarations A B apply)
I wish to nominate a 2nd Claim club: (Declarations A (4) & D apply)
Current 2nd Claim Club:
Change my 2nd Claim Club to:
(Declarations C & D apply)
I have read and understood the requirements of Company Rule R5.2.1.Swimming, Synchronised Swimming Masters and Open Water Swimming members can compete for their new club from the 1st of the month following receipt of this form by the Company.
Signature*: / Applicant/Parent/Guardian / Date:

*For swimmers under 16 years the applicant (Swimmer) declaration must be signed by a parent or guardian.

R5.2.1An individual wishing to change their 1st or 2nd Claim Club must complete the appropriate form (available from the Company), and obtain the signature of the Secretaries, or other Club Officers, of the clubs involved. The form shall then be sent to the Company.

R5.2.2An individual shall be entitled to obtain the signature of a Club Secretary (or other Club Officer) or a reason for refusal within 14 days of the request being made.

a) If no response is received by the individual within 14 days the individual can compete as
unattached as per R4.5.5.

b) If no response is received by the individual within 28 days the individual can compete for their
new Club, provided they are not in breach of Section R4.5.5 or Sections R5.1.4 or R5.1.5.

Notes: -

  1. It is the responsibility of the Applicant (Swimmer) to have the appropriate Declaration Sections completed before submission to Scottish Swimming.
  2. Change of Club form appliesonly to Swimmers.
  3. It is the responsibility of the swimmer’s 1st Claim Club for ensuring that the SASA membership fee for the current year has been paid.
  4. Once the Change of Club form details have been processed, Clubs and District Secretaries will be notified by the Company.
  5. Membership and Change of Club details can be accessed online via Home Country Membership Check at

Declaration “A” by Current 1st Claim Club(Strike through what does not apply)

  1. The applicant has / has not paid their Club and SASA membership for the current year.
  2. The applicant is free from all financial and other obligations to the club.
  3. The club has no objections to this application.

Club Name: / Date: (dd/mm/yy)
Signature
Secretary/Club Officer:
Name - Secretary/
Club Officer:

Declaration “B” by New 1st Claim Club

1. The applicant is a member of the Club.

2. The Club has no objections to this application.

Club Name: / Date: (dd/mm/yy)
Signature
Secretary/Club Officer:
Name - Secretary/
Club Officer:

Declaration “C” by Current 2nd Claim Club (Strike through what does not apply)

  1. The applicant has / has not paid their Club and SASA membership for the current year.
  2. The applicant is free from all financial and other obligations to the club.
  3. The club has no objections to this application.

Club Name: / Date: (dd/mm/yy)
Signature
Secretary/Club Officer:
Name - Secretary/
Club Officer:

Declaration “D” by New 2nd Claim Club

1. The applicant is a member of the Club.

2. The Club has no objections to this application.

Club Name: / Date: (dd/mm/yy)
Signature
Secretary/Club Officer:
Name - Secretary/
Club Officer:

Send the completed form to Scottish Swimming,

National Swimming Academy, University of Stirling, Stirling, FK9 4LA

For office use only:

Form Received into Office / Details checked &
computer record updated / Confirmation sent to
Membership Secretary / Confirmation sent to District Secretaries
Date: ____/____/____ / Date: ____/____/____ / Date: ____/____/____ / Date: ____/____/____

March 2015