Silver City Blues 26th Annual Masters Meet, Sat 6th February 2016

ENTRY FORM

GENDER: Choose an item.

Name:	Click here to enter text.
Club:	Click here to enter text.
Date of Birth:	Click here to enter text.
Age Category:	X (18-24)
SASA Registration Number:	Click here to enter text.
Email Address:	Click here to enter text.
Telephone/Mobile Number:	Click here to enter text.

EVENT DETAILS

Please submit your entry time in the below table in minutes and seconds.

DISTANCE	FREESTYLE	BACK STROKE	BREAST STROKE	BUTTERFLY	INDIVIDUAL MEDLEY
25m Coltel Shield Sprint (Age 25+ only)	Click here to enter text.
50m	Click here to enter text.	Click here to enter text.	Click here to enter text.	Click here to enter text.
100m	Click here to enter text.	Click here to enter text.	Click here to enter text.	Click here to enter text.	Click here to enter text.
200m	Click here to enter text.
400m	Click here to enter text.

ENTRY FEES

Please update the below table with the number of swims you have entered and awards dinner tickets you require as well as stating whether you wish to pay via paypal via the dropdown boxes provided. Pressing the control button and “A” followed by F9 will then display the total fee for your entry.

Swimming	Cost each	Number	Total
Swimming event entries at £4 per swim	£4	1	£ 4.00
Dinner and Award Ceremony Ticket	£12	0	£0.00
Subtotal	£4.00
Paypal fee (3.4% + 20p)	Do you wish to pay via paypal?	0 No	0 £0.00
Total Due (Press Ctrl+A then right click then “Update Field” to update total)	£4.00

CATERING

If you are attending the dinner and awards presentation please indicate any dietary requirement in the box below such as if you require a vegetarian or vegan meal.

Click here to enter text.

SUBMISSION

THE ENTRY FORM MAY BE SUBMITTED EITHER BY EMAIL OR BY POST.

Email completed forms to:

scbmeet@outlook.com

Or by post:

Jenny Brown

64 Dee Village

Millburn St

Aberdeen

AB11 6SZ

PAYMENT

Payment may be made by Bank Transfer, Paypal or by cheque:

Bank Transfer:

Sort code: 80-05-17

Account Number: 00834073

Paypal (send payment to):

treasurer@silvercityblues.org.uk

Cheque:

Make payable to “Silver City Blues Masters Swim Club”

Jenny Brown

64 Dee Village

Millburn St

Aberdeen

AB11 6SZ

DECLARATION

IN SUBMITTING THIS FORM I DECLARE THAT THE ABOVE INFORMATION IS CORRECT AND THAT I HAVE READ, UNDERSTOOD AND AGREE TO ABIDE BY THE CONDITIONS OF THIS SWIM MEET AS OUTLINED IN THE INFORMATION PACK.

CLOSING DATE FOR ENTRIES – Friday 29th January 2016