LINCOLNSHIRE COUNTY AMATEUR SWIMMING ASSOCIATION

2008 CHAMPIONSHIPS AND AGE GROUP COMPETITIONS

(Under ASA Laws and ASA Technical Rules)

ENTRY FORM

Please Use BLOCK LETTERS

UNIQUE ID NUMBER

(See competition condition 3)

Full Name:	Date of Birth:
Club:	Age on 15^th March 2008
Address:	Male/Female
	Tel No:
	Post Code

TIMES TO BE ACHIEVED AFTER 30^th JUNE 2007

Entry will be based on CONSIDERATION TIMES AND MAY BE LIMITED AT THE DISCRETION OF THE PROMOTER.

Please convert all times to 25metres using the ASA Equivalent Performance Tables. Second decimal places to be deleted.

	EVENT	TIME Converted to 25m	OCCASION AND VENUE	DATE
1	50m Freestyle
2	100m Freestyle
3	200m Freestyle
4	400m Freestyle
5	800m Freestyle
6	1500m Freestyle
7	50m Backstroke
8	100m Backstroke
9	200m Backstroke
10	50m Breaststroke
11	100m Breaststroke
12	200m Breaststroke
13	50m Butterfly
14	100m Butterfly
15	200m Butterfly
16	100m Ind Medley
17	200m Ind Medley
18	400m Ind Medley

I hereby declare that the above particulars are correct and that I will abide by the conditions laid down by the Lincolnshire County ASA for this competition.

Signature of Competitor____________________________________________________________________________Date_______________

I certify that the above information is correct______________________________________________________Club Secretary

Send the completed form, together with the entry fee of £4.00 per event to the address below. Cheques payable to

Lincolnshire County ASA.

Nina Savory, Hon Champs & Age Group Secretary, 16 Somersby Green, Boston, Lincs PE21 9PH.

CLOSING DATE FOR ENTRIES 10.00pm SATURDAY 12^th JANUARY 2008

LATE OR INCORRECT OR INCOMPLETE ENTRIES WILL NOT BE ACCEPTED.