Casuarina Storm Swimming Club
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Email address *
CLUB NIGHT 4 ENTRY FORM
Friday 23 February 2018
6:00 pm start

Events Offered 25/50 Butterfly, 25/50 Backstroke, 100 Breaststroke

Event nominations must be submitted via this online form BEFORE 8.00 am Friday 23 February 2018. Swimmers may choose only ONE distance per stroke offered.

Swimmer Name (First name, Last name) *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Parent/Guardian Name *
Your answer
Butterfly Events *
Backstroke Events *
Breaststroke Events *
PLEASE NOTE:
You will receive a confirmation email after you submit. If you wish to change your entry please edit or resubmit. If you have any problems please send an email to entriescasstorm@gmail.com
A copy of your responses will be emailed to the address you provided.
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