Worksop Dolphins Spring Open Meet 2015

Worksop Dolphins Spring Open Meet 2015
License Level 3 - 3EM150629
Club:
Given Name:
Family Name:
DOB
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ASA Reg No :
MALE / FEMALE
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STROKE
50m
TIME (25m)
Freestyle
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100m Freestyle
200m Freestyle
400m Freestyle
100m Backstroke
200m Backstroke
100m Breaststroke
200m Breaststroke
100m Butterfly
200m Butterfly
200m Ind Medley
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Address....................................................................................................
Phone........................................................Email......................................
Number of entries..................@ £5 =.................
Add paper entry surcharge £1
Total ......................enclosed.
If you are entering more than one swimmer please also complete the summary form
Mrs Monica Wilkinson, 52 Riddell Avenue, Langold, Worksop, Notts S81 9PP
Cheques payable to ‘Worksop Dolphins SC’
(To pay by BACS please email for the account details)
CLOSING DATE – FRIDAY 10th APRIL 2015 or when full on a first come first served basis
If you are a qualified official and would like to help please complete the
volunteer officials form and return with your entries
Email: [email protected]
www.worksopdolphins.co.uk
Worksop Dolphins Spring Open Meet 2015
License Level 3 - 3EM150629
Club or SS Entry Manager Summary Form
Please complete this summary form and return it with payment to the gala administrator.
(Entry acknowledgment is via the website)
CLUB ……………………………………………………………..
Date …………………………
Entry Coordinator……………………………………………….
Tel No …………………………
Address ………………………………………………………….
Post Code ……………………
EMAIL ……………………………………………………………………………………………………..
Swimmer’s Name
(Individual events £5.00)
Number of Events
Fees Total
Total swims
@ £5
Coaches passes @£8
For paper entry forms add the
surcharge of £1 per swimmer
No of swimmers
.............. @ £1 =
Total Enclosed
=
If using SS Entry Manager please complete this form only.
Individual entry forms are not required.
DO NOT FORGET TO APPLY FOR YOUR COACHES’ PASS
Cheques payable to ‘Worksop Dolphins SC’
(To pay by BACS please email for the account details)
Email: [email protected]
www.worksopdolphins.co.uk
Worksop Dolphins Spring Open Meet 2015
License Level 3 - 3EM150629
COACHES POOLSIDE PASS
APPLICATION FORM
CLUB
NAME
ASA NUMBER
DBS NUMBER
HOME ADDRESS
Please note: Poolside passes will only be issued to registered club coaches
and must be applied for in advance, include the fee of £8 with your
swimmers entries. Poolside space is limited so passes will be initially
restricted to one per club unless there is a proven need otherwise.
Please collect passes on the day from our door stewards.
Send with payment to the Entry Administrator.
Cheques payable to ‘Worksop Dolphins SC’
(To pay by BACS please email for the account details)
Email: [email protected]
www.worksopdolphins.co.uk
Worksop Dolphins Spring Open Meet 2015
License Level 3 - 3EM150629
VOLUNTEER OFFICIALS
This is a level 3 licensed meet so the requirement is for officials to
be qualified, it is currently not necessary to be licensed.
Benefits:
Free admission and programme/start sheets
Refreshments and buffet lunch.
Travel allowance of 40p per mile,
(reduced by half to 20p if accompanying a swimmer)
Ring side view of the action.
Complimentary bottle of wine, if you last the day. 
Lose weight without the expense of a sauna. 
Name:.................................................................
ASA No:.............................................................
Please tick:
Qualified as:............J1...............J2/S.................Referee
Licensed:..........Y............N
WE DO NEED AND APPRECIATE YOUR HELP
THANK YOU
Email: [email protected]
www.worksopdolphins.co.uk