National Ranking Trials 2017
Email address *
Personal Details
Full Name *
Your answer
Gender *
National ID Number *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Contact Information
Contact Numbers *
Your answer
Permanent Address *
Your answer
Present Address *
Your answer
Remarks
Your answer
Events
Entry times must be given in order to participate in the event. Pick at least 4 events as per the rules.
Senior Squad Compulsory Events
400m Freestyle
Your answer
200m Individual Medley
Your answer
Junior Squad Compulsory Events
200m Freestyle
Your answer
100m Individual Medley
(counted only towards junior squad)
Your answer
Other Events
50m Backstroke
Your answer
100m Backstroke
Your answer
50m Breaststroke
Your answer
100m Breaststroke
Your answer
50m Butterfly
Your answer
100m Butterfly
Your answer
50m Freestyle
Your answer
100m Freestyle
Your answer
Timings of Makita 42nd National Swimming Competition
If you want to consider timings of the Makita 42nd National Swimming Competition, please enter the events that you want to consider in the following format: [Event Number], [Stroke and Length], [Timing]. (eg: 187, 100m Butterfly, 01:07.58). Please write each event in a new line.
Your answer
Training Details
Affiliated Club (if any)
Your answer
Name of the Current Coach *
Your answer
Contact Number of the Current Coach *
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service