CITY OF PRESIDENTS SWIM CLASSIC
DECEMBER 1-2, 2001


NAME OF TEAM:___________________________________       ABBREVIATION:_____________
TEAM ADDRESS:___________________________________        PHONE:_____________________
COACH:___________________________________________      
PHONE:_____________________
CONTACT PERSON:_________________________________      PHONE:_____________________
E-MAIL:______________________________________________________ (required)
NO. OF ENTRIES      GIRLS:_______ X $2.00 = ______
                                      BOYS:_______ X $2.00 = ______
                                                            TOTAL   = ______
 
ENTRY DEADLINE: FRIDAY, NOVEMBER 16, 2001
MAKE CHECK PAYABLE TO: YSS SWIM TEAM
MAIL ENTRY & CHECK TO: MS. DARLENE McGRATH 45 TRUMAN DR. RANDOLPH, MA  02368
 
ANY SWIMMER WHOSE ENTRY IS ACCEPTED WILL FOR HIMSELF, HIS HEIRS, OR EXECUTORS AND ADMINISTRATORS, WAIVE AND RELEASE ANY AND ALL RIGHTS AND CLAIMS FOR DAMAGES HE/SHE MAY HAVE AGAINST UNITED STATES SWIMMING, NEW ENGLAND SWIMMING, SOUTH SHORE YMCA STRYPERS SWIM TEAM, SOUTH SHORE YMCA AND THE LINCOLN HANCOCK COMMUNITY SCHOOL FOR ANY AND ALL INJURIES SUFFERED BY HIM/HER AT SAID MEET.                                                             ________________________________________________
                                                            AUTHORIZED CLUB OFFICIAL'S SIGNATURE

                                                            NAME:__________________________________________

                                                            TITLE: __________________________________________

PLEASE LIST CERTIFIED OFFICIALS FROM YOUR CLUB

   NAME:__________________________     PHONE:____________________________

   NAME:__________________________     PHONE:____________________________

   NAME:__________________________     PHONE:____________________________

go to NE Swim Master Entry Form