WEST WIGHT SWIMMING CLUB MASTERS MEET
ENTRY FORM SURNAME:............................ MALE/FEMALE:............... FORENAME:........................... DATE OF BIRTH:............. ADDRESS:........................................................... ................................................................... POST CODE:................TEL NO:...................AGE GROUP:..... ENTRY FEE ENCLOSED:............... CLUB:........................... I DECLARE I AM AN AMATEUR UNDER A.S.A. LAW:........................ FRIDAY 22 APRIL 1994 EVENT MEN WOMEN SUBMITTED TIME 800m Freestyle 1 2 ______________ 400m Freestyle 3 4 ______________ 4x1 Ind. Medley 5 6 ______________ 4x2 Ind. Medley 7 8 ______________ 200m Freestyle 9 10 ______________ SATURDAY 23rd APRIL 1994 EVENT MEN WOMEN SUBMITTED TIME 50m Freestyle 11 12 ______________ 50m Backstroke 13 14 ______________ 100m Backstroke 15 16 ______________ 50m Breaststroke 17 18 ______________ 100m Breaststroke 19 20 ______________ 21 Mixed Medley Age 120 years. ______________ 22 Mixed Medley Age 160 years. ______________ 23 Mixed Medley Age 200 years. ______________ 100m Freestyle 24 25 ______________ 50m Butterfly 26 27 ______________ 100m Butterfly 28 29 ______________

Last Revised: 30 Dec 97