Official Entry Blank

GREENWOOD MEMORIAL SWIM CLUB

Distance Meet

October 20, 2001

 

TEAM:____________________________ CLUB ABBREV.___________

 

ADDRESS:_________________________________________________

 

COACH:____________________  TEL#_________________________

 

CONTACT:____________________ TEL#______________________

 

EMAIL:_____________________________

 

Mail Entries and Checks to:          Greenwood Memorial Pool

                                                          C/O Anne Monette

                                                          PO Box 647 35 Pheasant Lane

                                                          East Tempelton, MA  01438

 

Make Checks payable to:             Greenwood Memorial Swim Club

 

Entry Deadline:                        Friday, October 12, 2001

ENTRY FEES

Number                                                                                    Amount

 

__________ Female events @$4.00/disk                                  $_______

                                            @ $4.50/hand                                                                                                

__________ Male events @ $4.00/disk                                    $_______ $4.50/hand                                                                          

                                 TOTAL AMOUNT                $ _______

 

Any swimmer whose entry is accepted in the above meet will for himself, his heirs, executors, and administrators waive any release, any and all rights and claims for damages he may have against US Swimming, NE Swimming, the Greenwood Memorial Swim Club, and the Greenwood Memorial Pool for any and all injuries suffered by him at said meet.