Basingstoke Bluefins
Age Group Graded Open Meet 2008

Entry Form

* Surname:
* First Name:
* Club (please use 4 characters ASA code):
* ASA Registration Number:
* Sex: Male   Female
* Date of Birth:             Format   dd/mm/yyyy
Phone Number:
* eMail Address:
* Address: (Please include postcode)

 
Is this a replacement for an earlier entry? No  Yes

Please enter times in the boxes below for events you wish to enter.
Event 50m 100m *1 200m
Freestyle  
Backstroke
Breaststroke
Butterfly
Ind Medley  

Fields marked with * are mandatory.

*1 - There are no 100m events for girls aged 9 and 10 and boys aged 9, 10 and 11.

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, the swimmer above is an eligible competitor
and the above entries are in accordance with the conditions of the Development 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.