Wirral Metro Swimming Club

Wirral Metro Swimming Club - Entry Form

This entry form is to be completed and used for disc entry Meets.
It should be filled in completely and clearly, showing the qualifying swims you wish to represent W.I.M.N in.
Failure to comply could result in your Swimmer/Yourself missing the Meet.

This form is for W.I.M.N swimmer use only.

Meet Name
£ per event

A.S.A. Reg No
D.O.B

Full Name
(as it appears in the rankings)
Gender

Contact Email Address

Stroke	Time	When & Where Achieved
50 Free
100 Free
200 Free
400 Free
800 Free
1500 Free

50 Back
100 Back
200 Back

50 Brst
100 Brst
200 Brst

50 Fly
100 Fly
200 Fly

200 I.M.
400 I.M.

No of entries @ £

No of entries @ £
ONLY to be used for events that are charged at a different rate

Total Cost = £

I certify the above details are correct and comply with A.S.A. regulations.
I have only entered events and distances that I am entitled to, using my times taken from the W.I.M.N database they were achieved at the correct level and comply with the above Meet rules.
They can also be verified on the A.S.A. rankings