MENDIP MASTERS OPEN MEET
IN CONJUNCTION WITH
STREET & DISTRICT AMATEUR S.C.

Saturday 21st November 1992
(Under A.S.A. Laws) By permit of the W.C.A.S.A.
ENTRY   FORM
FIRST NAME _____________________________________MALE_______________________

SURNAME   ______________________________________FEMALE_____________________

ADDRESS   ______________________________________AGE GROUP__________________

________________________________________________CLUB_______________________

________________________________________________REG. NO:___________________


AGE GROUPS
A	B	C	D	E	F	G	H	J	K
25/29	30/34	35/39	40/44	45/49	50/54	55/59	60/64	65/69	70+


                                  EVENTS
Please tick the box and enter your time against the events you wish to
participate in.  If you do not have an entry time put n.t.
FEMALE EVENTS		TIME		MALE EVENTS		TIME
1.	200m.	F/S	______		2.	200m.	F/S	______
3.	33.3m.	Br.	______		4.	33.3m.	Br.	______
5.	100m.	B/S	______		6.	100m.	B/S	______
7.	100m.	Fly	______		8.	100m.	Fly	______
9.	4x1 F/S 120+	______		10.	4x1 F/S 120+	______
11.	100m.	F/S	______		12.	100m.	F/S	______
13.	33.3m.	Fly	______		14.	33.3m.	Fly	______
15.	1OOm.	Br.	______		16.	100m.	Br.	______
17.	4x1 F/S 180+	______		18.	4x1 F/S 180+	______
19.	33.3m.	F/S	______		20.	33.3m.	F/S	______
21.	4x1 	I.M.	______		22.	4x1	I.M.	______
23.	33.3m.	B/S	______		24.	33.3m.	B/S	______
25.	6x1 F/S 240+	______
	(Mixed Relay)

ENTRY FEE:  £1.65 per individual event £3.30 per team swim REMITTANCES
payable to:  Mendip District Council.  Entries should be made on the
individual entry forms provided.  There is no restriction on the number of
events you may enter.  Please submit times for 33.3m pool length.  Where
no time is submitted for an event you wish to enter, you will be placed
first in the start list.  Completed entry forms with large SAE for return
of your entry cards to:

KARINA VERNOIT, MEET ORGANISER, STRODE SWIMMING POOL, STRODE ROAD, STREET,
SOMERSET.  BA16 OAS.  TEL.  0458 43918

                      CLOSING DATE:  9th November 1992