Liverpool Spring Open Meet 2017 TEAM ENTRY FORM GIRLS – Name Club Closing Date For of Contact Entries Swim Email Noon Friday 3rd Club Address March 2017 Swimmer Swimmer 1 Swimmer 2 Swimmer 3 Swimmer 4 First Name(s) Surname Date of Birth / / / / / / / / ASA Number Age 31/12/2017 – Contact Number Email Address 50 Fly 50 Bk 50 Br/s 50 Fr/s 100 Fly 100 Bk 100 Br/s 100 Fr/s 200 Fly 200 Bk 200 Br/s 200 200 I.M. 400 Fr/s 400 I.M. 800m Fr/s Total Entries £ £ £ £ @ £6.50 each Total Entries & £ £ £ £ £10.50 each Total Individual £ £ £ £ Fees Appendix 4b Team Entry Form Boys –
Liverpool Spring Open Meet 2017 TEAM ENTRY FORM – GIRLS Name of Swim Club Club Contact Email Address Closing Date For Entries Noon Friday 3rd March 2017 Swimmer Swimmer 1 Swimmer 2 Swimmer 3 Swimmer 4 First Name(s) Surname Date of Birth / / / / / / / / ASA Number Age – 31/12/2017 Contact Number Email Address 50 Fly 50 Bk 50 Br/s 50 Fr/s 100 Fly 100 Bk 100 Br/s 100 Fr/s 200 Fly 200 Bk 200 Br/s 200 200 I.M. 400 Fr/s 400 I.M. 800m Fr/s Total Entries @ £6.50 each £ £ £ £ Total Entries & £10.50 each £ £ £ £ Total Individual Fees £ £ £ £ Appendix 4b – Team Entry Form Boys