Refund form test page Refund request formFirst name of swimmerLast name of swimmerName of person submitting refund request.EmailName of swimmer’s clubSwim England numberPlease list the number for each event the swimmer the swimmer withdrew from and that you are seeking a refund for.Please use this space to summarise the reason for the withdrawal and any medical evidence, you can upload the evidence if you wish. Please note that we may ask for more information before authorising any refund.Upload supporting informationChoose File Submit refund request