Official Entry Blank GREENWOOD MEMORIAL SWIM CLUB Fall Festival November 17

Official Entry Blank
GREENWOOD MEMORIAL SWIM CLUB
Fall Festival
November 17-18, 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 Templeton, MA 01438

Make Checks payable to: Greenwood Memorial Swim Club
Entry Deadline: Friday, November 9, 2001

ENTRY FEES

Number Amount

_____ Female 25-200 yd events @$3.00 (hand)

$2.50 (disk) $_______

_____ Male 25-200 events @ $3.00 (hand)

$2.50 (disk) $_______

_____ Female 400 and longer events @ $4.50 (hand)

$4.00 (disk) $_______

_____Male 400 and longer events @ $4.50

$4.00 (disk) $_______

_____Relays @ $8.00 $_______

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.