Please Agree the Amount with Me Before Making Bacs Payment / Writing Cheque

Individual Entry Form for Beckenham SC Swimmers

Surname: First Name: E-Mail: Age on 18/03/18: Date of Birth: Male/Female: ASA Reg. No:

Event No Event Entry Time 50m Butterfly 50m Backstroke 50m Breaststroke 50m Freestyle 100m Butterfly 100m Backstroke 100m Breaststroke 100m Freestyle 200m Butterfly 200m Backstroke 200m Breaststroke 200m Freestyle 400m Freestyle 200m Individual Medley 400m Individual Medley

No of Entries @ £5.00 - Total = £ No of Entries @ £7.00 (400m events) - Total = £ BSC Admin Fee = £ 1.00 TOTAL: £

FORMS ARE TO BE RETURNED by MONDAY 18TH DECEMBER 2017 TO LINDSEY DAVISON (43 Oakwood Avenue, Beckenham BR3 6PT / [email protected])

PLEASE AGREE THE AMOUNT WITH ME BEFORE MAKING BACS PAYMENT / WRITING CHEQUE

Please indicate method of payment:  CHEQUE payable to Beckenham Swimming Club (not BSC) with Ref DDSM18 + Swimmer Surname on the back  BACS payment (Sort Code: 60-02-12, Account No.: 53746031) with Ref DDSM18 + Swimmer Surname. Officials Form

If you are an official and would be willing to help at the meet, we would be grateful for any assistance you can offer.

Name: Club Name:

E-Mail: ASA Reg. No:

Sessions: Saturday Session 1 / Session 2 / Session 3 / All Day

Sunday Session 1 / Session 2 / Session 3 / All Day

All Weekend

Qualification:

If training, preferred area:

As the meet is level 3 we can also accept offers of help from qualified timekeepers who are working towards L1 and we will offer mentoring where possible but this can only be offered when we have met the ASA requirement for qualified officials.

Refreshments will be offered in all sessions including lunch.

Enquiries about officials should be sent to [email protected].