G&M's Entry Form

7/25/2019 G&M's Entry Form

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Swimmers Name GALA

Age as at: Date of Birth:31/12/2016

Male / Female Event Entry Time SC Achieved @

50m Freestyle

100m Freestyle

200m Freestyle

400m Freestyle

800m Freestyle

1500m Freestyle

50m Backstroke100m Backstroke

200m Backstroke

50m Butterfly

100m Butterfly

200m Butterfly

50m Breaststroke

100m Breaststroke

200m Breaststroke100m IM

200m IM

400m IM

Total no. of Entries - -each

Coaches Pass(Contribution) 1 2.00 2.00

If payment is not received your entry will not be submitted

Payment to be made by direct bank transfer to the above account

Date of payment/reference

Contact email address

All forms to be returned by 05/02/16 No late entries accepted

Return by email to: [email protected]

or

Return to competition box at Accrington Academy

-

Please tick the box to certify that the above information, including entry

times, are correct to the best of your knowledge.

Barclays Bank Account

Sort: 20-09-72

Account: 33006271

Total

Gala Entry Form

G & Ms Age Group Meet 2016

ASA Reg. Number
mailto:[email protected]:[email protected]

G&M's Entry Form

Documents

Transcript of G&M's Entry Form