The Cape Cod Swim Club
Age Group and Senior Team Specialty Meet
Sanctioned by New England Swimming: NE-02-10
SUMMARY SHEET
Coach:________________________________________________
Phone:__________________________ Email: ___________________________
Contact
Person:_____________________________________________
Phone:__________________________ Email: ___________________________
Number of Entries:
Computer Entries (add $0.50 per splash for paper entries):
Girls _____ x $2.50 = __________
Boys _____ x $2.50 = __________
Distance _____ x $4.00 = __________ *400 yards and over
Relays _____ x $7.00 = _________
TOTAL = _________
Entry Deadline: January 18, 2002
Please make checks payable to: Friends of the CCSC
Mailing Address: P.O. Box 966 (14 Ellen Lane), Pocasset, MA 02559-0966
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 USA Swimming, New England Swimming, The Cape Cod Swim Club, The Massachusetts Maritime Academy, the Commonwealth of Massachusetts for any and all injuries suffered by him/her at said meet.
_____________________________
Signature: Authorized Team Official
Names and phone numbers of Certified Officials from your club:
_______________________________________
| go to NES entry form for page 2 |