Amateur Swimming Association

Amateur Swimming Association SYNCHRONISED SWIMMING ( Under A.S.A.Laws Competitive Competition Only ) EVENT : .YORKSHIRE AUTUMN COMPETITION VENUE....SPENBOROUGH...DATE .4th OCT 2015

NAME D.O.B CLUB COMP REG No : REC

15/16/17 yrs 18/19 yrs

FIGURES ORDER PLACE SOLO ORDER Please Tick PLACE FIGURE COMPETITION JUDGE 1 2 3 4 FIGURE BARRACUDA PORPOISE TWIST MANTA RAY BUTTERFLY AIRBORNE SPLIT SPIN 1 2 3 4 5 TOTAL Total less SCORE Hi-Lo Degree.Divide by ofsumo Diff d.d 11.32.8 2.8X10 2.8 2.9 SCORELess Penalties FINAL FIGURE SCORE

CHIEF SCORER ………………… REFEREE ………………… (in case of penalties) SOLO COMPETITION JUDGE TECHNICAL MERIT ARTISTIC IMPRESSION 1 2 3 4 5 6 7 Total less High & Low Divide by Judges less 2 Multiply X5 X5 Add Technical Merit Total Routines Deduct Penalties Routine Result x 50% Add Figure Score x 50% FINAL RESULT IF ENTERING SOLO PLEASE TICK BOX BELOW CHIEF SCORER …………………………… REFEREE ……………. ( in case of Penalties Routines )

ADDRESS FOR RETURN OF INFORMATION ( This must be completed) Please include Tel No. & E.mail address

ADDRESS

ADDRESS Of SWIMMER

Tel Number E.Mail

SKILL/GRADE PASSED DATE .

MUSIC DETAILS

CLUB PPI LICENCE NUMBER TAPE NUMBER

Your Tape/CD and case must reprinted on it the following

1 The Production of this Tape/CD is licensed by PPL 2 Not for sale or subsequent hire 3 Within the UK any public performance of this Tape/CD requires a licence from the Phonographic Performance Limited

PLEASE COMPLETE THIS FORM IN DUPLICATE ( TYPED IF POSSIBLE ) AND RETURN TO:-

I.WATSON, 123,SHELDRAKE ROAD, CASTLEFORD, WAKEFIELD, WF10 5SN

NO LATER THAN MIDNIGHT 5th SEPTEMBER 2015 WITH ENTRY FEE OF £6.00 PER SWIMMER

SIGNATURE OF SWIMMER DATE

DATE OF JOINING CLUB .

SIGNED : CLUB HON. SECRETARY ______IMPORTANT NOTICE

THE PROMOTERS CAN ACCEPT NO RESPONSIBILITY FOR ACCIDENTS OR INJURY ARISING FROM THE ROUTINES DEVELOPED BY COMPETITORS /TEAM MANAGERS/ CHOREOGRAPHERS/COACHES FOR THE PURPOSE OF THE COMPETITION.