Aqua Force Swimming Academy

GALA ENTRY FORM

Personal information

Swimmers Name

ASA Number

Your Email address

This is where a copy of this entry will be sent.

Gala

DOB

Gala Date(s)

Age on Day of Gala

Events

Each event has three boxes for a time: minutes, then seconds (0–59), then hundredths after the dot (00–99), e.g. 1 05 47 1:05.47.

Leave all three empty if no time, or unknown.

** Your child’s results can be found on Swimming Results — Individual Best Times.

Event	Swims Entered	Time (min : sec . 00)
Freestyle
50m	Enter	:.
100m	Enter	:.
200m	Enter	:.
400m	Enter	:.
800m	Enter	:.
1500m	Enter	:.
Backstroke
50m	Enter	:.
100m	Enter	:.
200m	Enter	:.
Breaststroke
50m	Enter	:.
100m	Enter	:.
200m	Enter	:.
Butterfly
50m	Enter	:.
100m	Enter	:.
200m	Enter	:.
Individual Medley
100m	Enter	:.
200m	Enter	:.
400m	Enter	:.

Fees

Price per swim (£)

Total number of entries

Administration fee

£3.00

Total due

£3.00

Payment method

BACS (preferred) Cash

Notes

If a Training time is given this must have been approved by a coach.
Payment must be made when the gala form is submitted.
Unfortunately we are unable to accept cheques.
GALA ENTRIES WILL NOT BE ACCEPTED WITHOUT FULL PAYMENT.