Registration - Personal Information and Swim Events Events - Long Course (maximum of 6 events per swimmer) Personal Information Event #1 – 200m Open specify stoke: Event #2 - 50m Free Last Name First Name Address City Province/State Postal/Zip Code Home Telephone Work Telephone E-Mail Masters Registration # Club Name Age as of Dec. 31, 2013 Sex Birth date (d/m/y) Event #3 - 50m Breast Event #4 - 100m Fly Event #5 - 100m Back Event #6 – 400m Open specify stoke: Event #7 - 50m Fly Event #8 - 50m Back Payment Summary: Early Bird (by June 13) Late Entry (after June 13) $36.00 $40.00 Event #9 - 100m Free Event #10 - 100m Breast Total Amount Enclosed: $ Event #11 – 800 Free** **Time Permitting Maximum of 6 events per swimmer. Deck Entry fee: $50.00 Flat Fee, entries at the discretion of the Meet Manager All payments must be made by cheque payable to: London Aquatic Club. No refunds after July 2, 2013. All entries must be accompanied by payment and sent to: Paul Cappa, Meet Manager Sunset Outdoor Swim Meet 828 Headley Drive London, Ontario N6H 3V8 Notes 1. Please provide entry times with your registration. 2. Heats will be swum slowest to fastest. 3. Age groups for individual events are: 18-24, 25-29, 30-34, 35-39, etc. 4. Registrations must include Masters Registration # and birth date to be accepted. 5. Awards will be ribbons for 1st, 2nd and 3rd in each age group. 6. To convert short course times to long course times, multiply short course times by 1.03. Entry time (LC) 00:00.00
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