NEW WAVE SWIM
CLUB SPECIALTY MEET
Greater Lowell Technical High
School, Tyngsboro, MA
January 12 & 13, 2002
TEAM
NAME: __________________________________ ABBR.: ________________
COACH:
_________________________________ PHONE: _____________________
Name
and address of the person to receive all communication including meet results,
warm-up changes and questions about entries:
Name:
_____________________________________________________
Address:
_____________________________________________________
City/Town:
_____________________ State: ______ Zip: _________
Phone
Number:
Day:____________
Evening:_________
E-mail:___________________________________
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_____
Individual Events @ $2.50 or $3.00 each (for hand entries) $___________
_____
Distance events (over 400 yards) @ $4.00 or $4.50 each (hand entries) $________
TOTAL ENTRY FEES $_____________________
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Ellen
Morin
c/o New Wave Swim Club
PO Box 524
Lowell, MA 01823-0524.
LIABILITY RELEASE
Any swimmer whose entry is accepted will, for him/herself, his/her heirs, executors, and administrations, waive and release any and all rights and claims for damages he/she may have against United States Swimming, New England Swimming, New Wave Swim Club, and Greater Lowell Technical High School for any and all injuries suffered by him/her at said meet.
_______________________________________________________ _________________
SIGNATURE OF AUTHORIZED TEAM OFFICIAL DATE