DEVON COUNTY AMATEUR SWIMMING ASSOCIATION

President: Mr Steve Ward

Development Age Groups - Individual Entry Form 2007

NAME

DATE OF BIRTH (DD/MM/YY)

ASA REGISTRATION NUMBER

BOY/GIRL (Delete as appropriate) Telephone No.

EVENT AGE TIME

100m BACKSTROKE Boys 12-14 Girls 11-14
200m BACKSTROKE 9-14 years

100m BREASTSTROKE Boys 12-14 Girls 11-14

200m BREASTSTROKE 9-14 years

100m BUTTERFLY Boys 12-14 Girls 11-14

200m BUTTERFLY 9-14 years

100m FREESTYLE Boys 12-14 Girls 11-14

200m FREESTYLE 9-14 years
400m FREESTYLE 10-14 years
800m FREESTYLE Boys 12-14 Girls 11-14
100m INDIVIDUAL MEDLEY 9-14 years
200m INDIVIDUAL MEDLEY 9-14 years
1500m FREESTYLE Girls OPEN (time trial)
Total number of events entered:
GRAND TOTAL £
Total number of events entered:
THE GIRLS 1500M EVENT IS OPEN TO ALL SWIMMERS WISHING TO DO A TIME TRIAL
Please ensure that you have filled in times for each event you wish to enter.
We cannot accept entries without a submitted time. Entry fees: £4.00 per event.

Competition Dates 31stJune/1st July Exeter, 7th/ 8th July Tiverton.

CHEQUES MADE PAYABLE TO:

PLEASE RETURN TO: ON OR BEFORE:
We are hoping to have a professional photographer to take photos at our galas in Tiverton, which
will be.available for you to purchase. Any parent who do not wish their child to be photographed
should inform them at the start of the gala.
PLEASE NOTE THAT THE CLOSING DATE FOR RETURN TO DCASA HON.
COMPETITION SECRETARY IS: 31st May 2007
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