Barnet Copthall County Qualifier 1 2019
This entry form should only be used by Enfield Swim Squad members.

PAYMENT FOR GALA ENTRIES WILL BE TAKEN BY DIRECT DEBIT. IF YOU HAVE NOT YET SIGNED UP FOR THE ESS GALA DIRECT DEBIT SCHEME, PLEASE DO SO HERE: https://pay.gocardless.com/AL0000NJ5PHFXB.
Email address *
Swimmer's surname *
Please enter SURNAME as registered with Swim England.
Your answer
Swimmer's FIRST name *
Please enter FIRST name as registered with Swim England.
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Swim England Registration Number *
Go to www.swimmingresults.org/biogs to find your number and check your times. If you cannot find your Swim England number, please enter 00000.
Your answer
Contact Mobile Number *
Your answer
50m Free
If you wish to enter this event, please enter your time in the following format: MM:SS.HH (e.g. 05:23.09; where minutes are 0, enter '00' for MM, e.g. 00:31.65). If you do NOT wish to enter this event, please leave blank. If you do not have a time, please enter 00:00.00.
Your answer
50m Back
If you wish to enter this event, please enter your time in the following format: MM:SS.HH (e.g. 05:23.09; where minutes are 0, enter '00' for MM, e.g. 00:31.65). If you do NOT wish to enter this event, please leave blank. If you do not have a time, please enter 00:00.00.
Your answer
50m Breast
If you wish to enter this event, please enter your time in the following format: MM:SS.HH (e.g. 05:23.09; where minutes are 0, enter '00' for MM, e.g. 00:31.65). If you do NOT wish to enter this event, please leave blank. If you do not have a time, please enter 00:00.00.
Your answer
50m Fly
If you wish to enter this event, please enter your time in the following format: MM:SS.HH (e.g. 05:23.09; where minutes are 0, enter '00' for MM, e.g. 00:31.65). If you do NOT wish to enter this event, please leave blank. If you do not have a time, please enter 00:00.00.
Your answer
200m IM
If you wish to enter this event, please enter your time in the following format: MM:SS.HH (e.g. 05:23.09; where minutes are 0, enter '00' for MM, e.g. 00:31.65). If you do NOT wish to enter this event, please leave blank. If you do not have a time, please enter 00:00.00.
Your answer
400m IM
If you wish to enter this event, please enter your time in the following format: MM:SS.HH (e.g. 05:23.09; where minutes are 0, enter '00' for MM, e.g. 00:31.65). If you do NOT wish to enter this event, please leave blank. If you do not have a time, please enter 00:00.00.
Your answer
400m Free
If you wish to enter this event, please enter your time in the following format: MM:SS.HH (e.g. 05:23.09; where minutes are 0, enter '00' for MM, e.g. 00:31.65). If you do NOT wish to enter this event, please leave blank. If you do not have a time, please enter 00:00.00.
Your answer
Name of your squad: *
Key: PPE/PPO=Podium Performance/Potential, AGPE/AGPO=Age Group Performance/Potential, JPE/JPO=Junior Performance/Potential, DEV=Development, ACA=Academies Blue and Purple, MAS=Masters, ACT=Active Squads West and East, CLUB=Club Squads West and East.
I CERTIFY THAT ALL TIMES AND DATA ARE ACCURATE AT TIME OF SUBMISSION. I AUTHORISE ESS TO COLLECT MY TOTAL EVENT ENTRY FEES VIA DIRECT DEBIT. *
Please see gala conditions for detail of eligible entry times and fees. ESS will charge an additional £1 per swimmer to cover admin cost. IF YOU HAVE NOT YET SIGNED UP FOR THE ESS GALA DIRECT DEBIT SCHEME, YOU MUST DO SO BEFORE SUBMITTING YOUR ENTRIES: https://pay.gocardless.com/AL0000NJ5PHFXB.
Required
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service