NEW ENGLAND SWIMMING LONG COURSE SENIOR CHAMPIONSHIPS
Smith Swim Center, Brown University, Providence, RI
July 20--23, 2000
CLUB:_____________________________________ ABBREVIATION:_____________
CONTACT PERSON:___________________________________
PHONE:_____________________
ADDRESS:__________________________________ EMAIL:_____________________
CONTACT PERSON FOR WORKERS: ___________________________
PHONE:____________________
ADDRESS:__________________________________ EMAIL:_____________________
COACH:____________________________________ PHONE:_____________________
EMAIL:______________________
Mail entries to: NEW ENGLAND SWIMMING, 20 Cleveland Road, Needham, MA 02492 by Tuesday, July 11, 2000
Make one total check payable to: NEW ENGLAND SWIMMING
____________ individual events at $ 3.00 each: __________________
____________ distance events* at $ 4.00 each: __________________
____________ relay events at $ 7.00 each: __________________
____________ individual swimmers at $ 1.00 each: __________________
TOTAL __________________
| *All events 400 meter and longer. All relay swimmers must be listed on the
roster.
| Any swimmer whose entry is accepted will, for him/herself, his/her heirs,
executors, and administrators, waive and release any and all rights and
claims for damages he/she may have against USA Swimming, New England
Swimming, Inc., and Brown University for any and all injuries suffered by
him/her at the 2000 New England Swimming Long Course Championship meet. | |
______________________________________ Club Administrator