BARNET COPTHALL SWIMMING CLUB
AFFILIATED TO SCASA
MASTERS 1500m FREESTYLE EVENT
UNDER ASA LAWS
SUNDAY 29th NOVEMBER & SATURDAY 5th DECEMBER 1998
WARM-UP EACH DAY - 4.30 pm : START - 5.00
ENTRY FORM
PLEASE USE BLOCK CAPITALS

FULL NAME............................................................................. DATE OF BIRTH............................

ADDRESS.........................................................................................................................................

..............................................POST CODE.............................. TEL No...........................................

MALE / FEMALE .......... CLUB........................................... A.S.A. Reg........................................

PLEASE TICK APPROPRIATE AGE GROUP BOX (Age as at 31.12.98)
GROUPXAB CDEF GHJK LMNO
AGE 19-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90+
Tick                    
NOTE: "MASTERS" must be at least 25 years of age IN THE YEAR OF COMPETITION
- that is, at least 25 by 31.12.98 - and also A.S.A. Registered Members of an Affiliated Club.

PLEASE TICK ANY
PREFERRED DATE		SUNDAY
29th NOV.		  SATURDAY
5th DEC.		  EITHER
WILL DO		 

ENTRY TIME FOR
1500m FREESTYLE  		 
NOTE FAILURE TO ENTER A TIME WILL
RESULT IN REJECTION OF YOUR ENTRY

ENTRY FEE: £8 Includes Programme, Results Sheets with Splits, and a Certificate.

NOTE: Continuous Warm-up / Swim-down will be available throughout the evenings
in the 25m Training Pool and / or Diving Pool.

SWIMMER'S
DECLARATION  		I declare that all the details given above are correct and I agree to
abide by the Organiser's conditions. I also declare that I am fit,
well and able to compete in the above event.

I enclose a cheque made payable to BARNET COPTHALL S.C. for £8.00

SWIMMER'S SIGNATURE.....................................................

        CLOSING DATE FOR ENTRIES - FRIDAY 6th NOVEMBER        
Include 9" x 6" (or C5) S.A.E. for Time Cards and send to:-

IAN WOOLARD, BARNET COPTHALL CENTRE, GT NORTH WAY, HENDON, LONDON, NW4 1PS
               FAX 0181 203 7512                TELEPHONE 01707 654573