SWIMMING NSW

 

MULTI ENTRY CARD

First Name                                     Last Name

  

Swimming Club

  

Date of Birth

Age

  

Classification

ID No

Name of Meet

Date of Meet

  

 

Event
No

Stroke

Dist-ance

Entry
Time

Achievement
Date / Place

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  

 

 

 

 

 

 

 

@ $ __________ = TOTAL $ _____________

 


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SWIMMER / PARENT / GUARDIAN