Name
of Team:
Abbreviation:
Team
Address:
Email Address for the Team’s Primary Contact:
Head Coach: Phone:
Coach’s Email Address:
Contact Person: Phone:
Entry
Contact Person’s Email Address:
|
Age Group |
Gender |
Number
of |
Number of Entries |
Fee* |
Entry Fee* |
|
8
& Under |
Girls |
|
|
x
$2.50/$3.00* |
|
|
8
& Under |
Boys |
|
|
x
$2.50/$3.00* |
|
|
9
& 10 |
Girls |
|
|
x
$2.50/$3.00* |
|
|
9
& 10 |
Boys |
|
|
x
$2.50/$3.00* |
|
|
11
& 12 |
Girls |
|
|
x
$2.50/$3.00* |
|
|
11
& 12 |
Boys |
|
|
x
$2.50/$3.00* |
|
|
13
& 14 |
Girls |
|
|
x
$2.50/$3.00* |
|
|
13
& 14 |
Boys |
|
|
x
$2.50/$3.00* |
|
|
Open |
Girls |
|
|
x
$2.50/$3.00* |
|
|
Open |
Boys |
|
|
x
$2.50/$3.00* |
|
|
|
|||||
|
Total |
Girls |
|
|
|
|
|
Total |
Boys |
|
|
|
|
|
All
Swimmers |
|
|
|
|
|
* Add 50 cents per entry if NOT submitting entry using a SD3 data file
Entry
Period: Monday, September 17, 2001 to Thursday, October 18, 2001.
Please make checks payable to the Attleboro
Bluefish and mail entries to:
Attleboro
Bluefish; C/o Walt Meissner; 55 Jennifer Drive; Wrentham, Ma 02093
By
your signature below you acknowledge on behalf of your team and its swimmers
that any swimmer, whose entry is accepted,
will for himself/herself, his/her
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, the Attleboro Bluefish Swim Team, Attleboro High
School, the Town of
Attleboro or any of their officers for any and all injuries suffered by
him/her at said meet.
Name:
Title:
|