swimmeets.org

Basingstoke Masters Fast Water Meet 2005

Sunday March 20th 2005

Entry Form

* Surname:
* First Name:
* Club:
* Sex: Male   Female
* Date of Birth:             Format   dd/mm/yyyy
* ASA Registration Number:
Phone Number:
* eMail Address:
* Address: (Please include postcode)

 
* Age Group
Is this a replacement for an earlier entry? No  Yes

Please tick the boxes below and enter your time against the events you wish to enter. If you do not have a time, enter NT. 
Ladies Individual Events
Event Entry Time
1 4x25m Ind Medley
3 50m Breaststroke
7 50m Freestyle
13 25m Freestyle
19 50m Butterfly
23 50m Backstroke
Mens Individual Events
2 50m Breaststroke
4 50m Backstroke
8 50m Butterfly
14 25m Freestyle
20 50m Freestyle
24 4x25m Individual Medley
Ladies Relays
9 140 Years 4x25m Medley Relay
11 200 Years 4x25m Medley Relay
15 140 Years 4x25m Breaststroke Relay
17 200 Years 4x25m Breaststroke Relay
25 140 Years 4x25m Freestyle Relay
27 200 Years 4x25m Freestyle Relay
Mens Relays
10 140 Years 4x25m Medley Relay
12 200 Years 4x25m Medley Relay
16 140 Years 4x25m Breaststroke Relay
18 200 Years 4x25m Breaststroke Relay
26 140 Years 4x25m Freestyle Relay
28 200 Years 4x25m Freestyle Relay
Mixed Relays
5 Mixed 140 Years 4x25m Freestyle Relay
6 Mixed 200 Years 4x25m Freestyle Relay
21 Mixed 140 Years 4x25m Medley Relay
22 Mixed 200 Years 4x25m Medley Relay

Fields marked with * are mandatory.

When you have completed the form, click on Submit below. Before clicking on Submit, you must indicate that you accept the Promoters Conditions and confirm that the above information is accurate. The next screen will confirm the information that has been recorded and calculate the appropriate entry fee. If this information is incorrect, you will have the opportunity to cancel your entry and start again.

I confirm that I have read and accept the promoters conditions and that I am eligible for this competition. Yes    No

Please be patient when you click submit. Processing of the information may take some time.

To clear the form of all information to start again, click on the Reset button below.