Beds A.S.A Masters Record Application
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Record applied for (eg 50m Freestyle): |
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Sex & Age (eg Men 45 - 49yrs): |
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Time: |
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Made by ( FULL NAME): |
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Address: |
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Registration Number |
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Date of Birth: |
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Club of Applicant for Record: |
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Date of Swim : |
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Venue: |
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Occasion or Gala: |
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Length of Pool: |
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Copy of Results Sheet attached. |
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FOR OFFICE USE ONLY |
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Date Application received: |
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Print off and post or email to Chris.Jessup@btinternet.com
Return to:- Chris Jessup
Hollybank,
Stanbridge Road
Leighton Buzzard
LU7 4PZ
Rules for Masters Records