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PNSC EASTER FESTIVAL LONG COURSE L1 MEET 2019 Entry Form
Thursday 18th - Sunday 21st April 2019

The Mountbatten Centre, Alexandra Park, Portsmouth, PO2 9QA

This is a Long Course Level 1 meet
50m, 100m, and 200m events in all strokes
plus 400m, 800m & 1500m Freestyle (Aged 11+ only)
plus 200m & 400m(aged 11+) IM

Ages as at 21st April 2019
Age Groups 10,11,12,13,14,15,16 & 17+

Lower qualifying times apply, Swimmers must be equal to or faster than time shown.

Closing Date for HWSC swimmers - Midday SUNDAY 3rd MARCH 2019

Name of Swimmer
First Name *
Your answer
Surname *
Your answer
Swimmers HWSC Squad *
i.e Performance
Your answer
Date of Birth *
D.O.B of Swimmer (DD/MM/YYYY)
Your answer
Age on 21st April 2019 (must be 10 or over)
Of Swimmer
Your answer
Swim England Registration Number *
If Registration number is not known please go to https://www.swimmingresults.org/individualbest/ (On Swim England Web Page enter your family name to find out membership number and swimmers Best Individual Times)
Your answer
Gender *
Disability Catergory
Please enter n/a if not applicable
Your answer
Persons Name Making Entry *
Your answer
Contact Details
Phone Number *
Your answer
Email Address *
Your answer
Submitted Times
Check Meet Qualifying Times and ensure submitted entry times are equal or faster (Please use Long Course or Converted Short Course times)

Leave events not entering as blank.

Enter event by putting swimmers entry time in the LONG COURSE entry time box If converted from SC time used please mark with "*". See "http://www.pullbuoy.co.uk/times" webpage for conversion.

There will be no refunds for incorrectly entered times

50m Freestyle
50m Freestyle LONG COURSE Entry Time
( Minutes.Seconds.Hundredths )
Your answer
100m Freestyle
100m Freestyle LONG COURSE Entry Time
( Minutes.Seconds.Hundredths )
Your answer
200m Freestyle
200m Freestyle LONG COURSE Entry Time
( Minutes.Seconds.Hundredths )
Your answer
400m Freestyle
400m Freestyle LONG COURSE Entry Time
( Minutes.Seconds.Hundredths ) - Aged 11+ only
Your answer
800m Freestyle
800m Freestyle LONG COURSE Entry Time
( Minutes.Seconds.Hundredths ) - Aged 11+ only
Your answer
1500m Freestyle
1500m Freestyle LONG COURSE Entry Time
( Minutes.Seconds.Hundredths ) - Aged 11+ only
Your answer
50m Backstroke
50m Backstroke LONG COURSE Entry Time
( Minutes.Seconds.Hundredths )
Your answer
100m Backstroke
100m Backstroke LONG COURSE Entry Time
( Minutes.Seconds.Hundredths )
Your answer
200m Backstroke
200m Backstroke LONG COURSE Entry Time
( Minutes.Seconds.Hundredths )
Your answer
50m Breaststroke
50m Breaststroke LONG COURSE Entry Time
( Minutes.Seconds.Hundredths )
Your answer
100m Breaststroke
100m Breaststroke LONG COURSE Entry Time
( Minutes.Seconds.Hundredths )
Your answer
200m Breaststroke
200m Breaststroke LONG COURSE Entry Time
( Minutes.Seconds.Hundredths )
Your answer
50m Butterfly
50m Butterfly LONG COURSE Entry Time
( Minutes.Seconds.Hundredths )
Your answer
100m Butterfly
100m Butterfly LONG COURSE Entry Time
( Minutes.Seconds.Hundredths )
Your answer
200m Butterfly
200m Butterfly LONG COURSE Entry Time
( Minutes.Seconds.Hundredths )
Your answer
200m Individual Medley
200m Individual Medley LONG COURSE Entry Time
( Minutes.Seconds.Hundredths )
Your answer
400m Individual Medley
400m Individual Medley LONG COURSE Entry Time
( Minutes.Seconds.Hundredths ) - Aged 11+ only
Your answer
Summary
Total Number of Events being Entered.
Your answer
Cost Per Events
£6.00 (50's, 100's 200's),
£8.00 (400's),
£12.00 (800 & 1500)
Sub Total : £ *
Total cost all Events
Your answer
PLUS Admin/Coach Support Fee* : £5
*This contributes to the costs of a coach being at the meet.
TOTAL : £ *
Including Support Fee
Your answer
Additional Comments
Please use box below to inform meet entry manager of any additional relevant information
Your answer
Payment
All payments will be taken via GoCardless in week prior to event. If you have not signed up for this yet please contact treasurer@handwsc.co.uk. The GoCardless system allows us to take payments by Direct Debit.
Once entry is submitted, you will receive a confirmation email to the email address you entered on this form. If confirmation email is not received to your email, entry HAS NOT been received, and form must be filled in again. ( No need to print email confirmation )

By clicking submit you confirm that you understand it is your responsibility to check your entry times are valid against the meets qualifying times and criteria, HWSC cannot be held responsible if entries are rejected on the basis of not meeting entry conditions.

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