LINCOLNSHIRE COUNTY AMATEUR SWIMMING ASSOCIATION

MASTERS’ & 18\24 YRS’ RECORDS CLAIM FORM

AS FROM NOVEMBER 16th 2004 ALL MASTERS’ RECORDS MUST BE CLAIMED BY COMPLETING THE FORM BELOW AND RETURNING IT TO ME WITH A COPY OF THE OFFICIAL RESULTS OR A TIME CARD.

CLAIMS MUST BE RECEIVED WITHIN 28 DAYS OF THE SWIM AND MUST BE MADE BY THE SWIMMER OR CLUB SECRETARY.

SWIMS MAY BE FROM ANY COMPETITION HELD UNDER ASA LAWS.

IF IN DOUBT PLEASE TELEPHONE ME ON 01205 361879.

NINA SAVORY, HON COUNTY MASTERS SEC.

LINCOLNSHIRE COUNTY ASA MASTERS AND 18\24YRS RECORDS CLAIM FORM

Full name: Date of swim:

Address: Stroke:

. Distance:

. Time:

Date of birth: Pool length:

Age Group: Venue:

Club: Competition:

Signature of swimmer:

LINCOLNSHIRE COUNTY ASA MASTERS AND 18\24YRS RECORDS CLAIM FORM
Full name:	Date of swim:
Address:	Stroke:
.	Distance:
.	Time:
Date of birth:	Pool length:
Age Group:	Venue:
Club:	Competition:
Signature of swimmer:

A COPY OF THE OFFICIAL RESULTS OR A TIME CARD MUST BE SENT WITH THIS FORM.

PLEASE RETURN THIS FORM WITHIN 28 DAYS OF THE SWIM TO NINA SAVORY