Surname................................................. Male/Female Forename................................................ Date of Birth............. Age Group................. Address............................................................................ .........................................................Postcode.................. Phone no.................. ENTRY FEE ENCLOSED.............................. CLUB..............................
| FRIDAY 24th APRIL EVENT NO. |
MEN | WOMEN | TIME |
|---|---|---|---|
| 4 X 1 IM | 1 | 2 | |
| 200 F/S | 3 | 4 | |
| 100 BR/S | 5 | 6 | |
| 100 FLY | 7 | 8 |
| SATURDAY 25th APRIL EVENT NO. |
MEN | WOMEN | TIME |
|---|---|---|---|
| 400 F/S | 7 | 8 | |
| 50 F/S | 9 | 10 | |
| 50 B/C | 11 | 12 | |
| 50 FLY | 13 | 14 | |
| 100 B/C | 15 | 16 | |
| 800 F/S | 17 | 18 | |
| MIXED RELAY - 2 MEN, 2 WOMEN |
120 YRS | 120 YRS | |
| MIXED RELAY - 2 MEN, 2 WOMEN |
160 YRS | 160 YRS | |
| MIXED RELAY - 2 MEN, 2 WOMEN |
200 YRS | 200 YRS | |
| 100 F/S | 22 | 23 | |
| 50 BRS | 24 | 25 |