<p> Bristol Schools Swimming Association Entry Form </p><p>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)</p><p>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.</p><p>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</p><p> 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)</p><p>PLEASE COMPLETE FORM IN BLOCK CAPITALS GIRLS BOYS Event First Name Surname d.o.b First Name Surname d.o.b 50m Breast</p><p>50m Back</p><p>50m Fly</p><p>50m Free</p><p>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</p><p>School</p><p>Teacher/Team Manager in charge </p><p>*Name of timekeeper </p><p>Headteachers signature</p><p>Entry form(s) and affiliation fee must be sent to: Mr F.Keeble, Greenhill Farm, Greenhill Lane, Sandford, Bristol BS25 5PE</p><p>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.*</p>