Bristol Schools Swimming Association

Bristol Schools Swimming Association Entry Form

Secondary Schools Sprint Gala - Qualifying Round Tuesday 8th February 2011 (Final Gala – Tuesday 17th March) Easton Leisure Centre - warm up 5pm /start 5.30pm (under ASA Technical Rules)

N.B PLEASE PHOTOCOPY THIS SHEET IF ENTERING MORE THAN ONE AGE GROUP SO THAT ENTRIES FOR JUNIOR, INTERMEDIATE AND SENIOR EVENTS ARE ON SEPARATE FORMS.

Age Groups Group Entering (please tick) Qualifying date: Midnight 31st August/1st September 2011 JUNIOR 12-14 yrs 1.9.97-31.8.99 INTERMEDIATE 14-16 yrs 1.9.95-31.8.97 SENIOR 16-19 yrs 1.9.92-31.8.95

 Swimmers may enter 2 INDIVIDUAL and 2 TEAM events and can only swim in their own age group.  No more than 3 individual and 1 team entry per school for each event.  Affiliation fee £25 (please make cheques payable to Bristol Schools Swimming Association)

PLEASE COMPLETE FORM IN BLOCK CAPITALS GIRLS BOYS Event First Name Surname d.o.b First Name Surname d.o.b 50m Breast

50m Back

50m Fly

50m Free

Team Freestyle 4x50m YES / Freestyle 4x50m YES / Relay NO Relay NO Team Medley 4x50m YES / Medley 4x50m YES / Relay (bk,br,fly,free) NO Relay (bk,br,fly,free) NO

School

Teacher/Team Manager in charge

*Name of timekeeper

Headteachers signature

Entry form(s) and affiliation fee must be sent to: Mr F.Keeble, Greenhill Farm, Greenhill Lane, Sandford, Bristol BS25 5PE

Closing Date for entries MONDAY 13th DECEMBER (Spectators – admission on door - £3 adults £1 children) *Because of the extra gala and need for extra volunteer officials, schools are required to supply a timekeeper. Experience not necessary. Stopwatch can be supplied.*