Spring Championships - May 14th 2006
Entry Form


Surname
First Name
Address
(Please include Post Code)
eMail Address
Telephone No.
Sex
Date of Birth
Squad/Group

Select the strokes you would like to enter:

25m/50m Freestyle   Swimmers up to age 10 swim 25m
25m/50m Backstroke   Swimmers 11 and over swim 50m
25m/50m Breaststroke   Ages are as at May 14th 2006
25m/50m Butterfly    
200m Freestyle    
100m Individual Medley   Age 11 and over only

 

If you are in a level 3-6 teaching group, please tick here:     Select for YES
(you may only enter the freestyle and will swim 25m)    
     
Would you like to receive news about Basingstoke Bluefins by e-mail?     Select for YES
Would you like to see your times displayed on the Bluefins Web site?     Select for YES

When you have completed this form, click on Submit below.

The closing date for entries is Friday May 5th 2006.

The next screen will confirm the information that has been recorded. If this is incorrect, you may press back on your browser, correct the information and submit your entry again. I will accept the last entry that I receive from you.

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