PIONEER VALLEY AQUATIC CLUB LONG COURSE INVITATIONAL "A" MEET
May 25, 26 & 27, 2001
Entry Form Cover Sheet
PLEASE ANSWER ALL QUESTIONS AND SIGN WHERE REQUESTED TO SIGN

TEAM __________________________________TEAM CODE_________

E-Mail address if cuts are to be made__________________________

ALL OTHER INFORMATION SHOULD BE FILLED OUT ON THE MEET ENTRY FORM.

MAKE CHECKS PAYABLE TO : PIONEER VALLEY AQUATIC CLUB

Entry Deadline: Entries Must be received by Tuesday May 15, 2001. Enclose a stamped self addressed envelope if you want proof of entry receipt. Entry Requirements – All entries should include a legible entry form, and appropriate fees. No seed cards are needed.

MAIL ENTRIES TO: ISABELLE FRASER, 125 FRANKLIN RD., LONGMEADOW, MA. 01106 PHONE 413-567-3415
MEET LIMIT: THIS MEET WILL BE LIMITED TO FOUR HOURS EACH SESSION.
LIMITING AS DESCRIBED ON PAGE 2 OF THE ENTRY BLANK WILL BE APPLIED TO EVENTS AT THE DISCRETION OF THE MEET MANAGER TO ACHIEVE A WELL BALANCED MEET.

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WE HAVE ENTERED THE FOLLOWING EVENTS:
  1.  __________ MALE EVENTS @ $2.50 EACH = __________
  2. __________ MALE DISTANCE EVENTS @ $4.00 EACH= __________
  3. __________ FEMALE EVENTS @ $2.50 EACH= __________
  4. __________ FEMALE DISTANCE EVENTS @ $4.00 EACH = __________
  5. __________ MALE RELAY EVENTS @ $7.00 EACH= __________
  6. __________ FEMALE RELAY EVENTS @$7.00 EACH= __________

TOTAL ENTRY FEES $_____________

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Any swimmer whose entry is accepted, will, for himself, his heirs, executors, and administrators, waive and release any and all rights and claims for damage he may have against Unites States Swimming, Inc., New England Swimming, Inc., Pioneer Valley Aquatic Club and Springfield College for any and all injuries suffered by him at said meet.

Signature of Club Official Date __________

CLUB ADDRESS WHERE RESULTS SHOULD BE MAILED

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****IF YOU SEND YOUR ENTRY EXPRESS MAIL, PLEASE SIGN THE WAIVER ALLOWING IT TO BE LEFT WITHOUT A SIGNATURE.