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City of Leeds - October Meet (Level 3) 2021
Saturday 2nd & Sunday 3rd October, at the John Charles Centre, Leeds
- Please check the schedule for session times and the order of events
A separate entry form should be completed for each swimmer
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Email
*
Your email
Surname
Your answer
First Name
Your answer
Squad Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Age as of 03/10/2021
Your answer
Swim England Membership Number (See
https://www.swimmingresults.org/individualbest/
)
Your answer
Telephone Number
Your answer
Please add your swimmer's entry time to the events they would like to enter
Entry times are based on 25m pool times or converted 50m pool times, as recorded on the Swim England database (See
https://www.swimmingresults.org/individualbest/
)
Please speak to the coach if you would like any guidance about which events to enter for your swimmer
50m Freestyle
Your answer
100m Freestyle
Your answer
200m Freestyle
Your answer
400m Freestyle
Your answer
50m Backstroke
Your answer
100m Backstroke
Your answer
200m Backstroke
Your answer
50m Breaststroke
Your answer
100m Breaststroke
Your answer
200m Breaststroke
Your answer
50m Butterfly
Your answer
100m Butterfly
Your answer
200m Butterfly
Your answer
200m Individual Medley
Your answer
400m Individual Medley
Your answer
Number of events entered
Your answer
Total race fees (at £6.50 per event)
Your answer
Closing date for entries - Monday 30th August 2021
Please send a BACS payment to cover the race entry fees to the usual YCBC bank account when submitting this Entry Form
A copy of your responses will be emailed to the address you provided.
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