Registration Team Challenge

Team Name*

I wish to enter

A complete team of six swimmers
An incomplete team. Please help me to find the missing swimmer(s)
As an individual. I would be very happy to be added to any team (enter all contact details and your choice of individual events)

Phone Contact*

Email Address*

Swimmer 1

1/Surname*

1/First Name*

1/Date of Birth*

1/Gender

Male Female

First swimmer's races

50 Butterfly
50 Backstroke
50 Breaststroke
50 Freestyle

Swimmer 2

2/Surname

2/First Name

2/Date of Birth

2/Gender

Male Female

Second swimmer's races

50 Butterfly
50 Backstroke
50 Breaststroke
50 Freestyle

Swimmer 3

3/Surname

3/First Name

3/Date of Birth

3/Gender

Male Female

Third swimmer's races

50 Butterfly
50 Backstroke
50 Breaststroke
50 Freestyle

Swimmer 4

4/Surname

4/First Name

4/Date of Birth

4/Gender

Male Female

Fourth swimmer's races

50 Butterfly
50 Backstroke
50 Breaststroke
50 Freestyle

Swimmer 5

5/Surname

5/First Name

5/Date of Birth

5/Gender

Male Female

Fifth swimmer's races

50 Butterfly
50 Backstroke
50 Breaststroke
50 Freestyle

Swimmer 6

6/Surname

6/First Name

6/Date of Birth

6/Gender

Male Female

Sixth swimmer's races

50 Butterfly
50 Backstroke
50 Breaststroke
50 Freestyle

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