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London Swimming Disability Swimming Championships 2012 ...

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Entry Checklist<br />

Swimmers:<br />

I have enclosed the completed forms:<br />

<br />

<br />

<br />

<br />

Entry form - up to 4 events<br />

A cheque for £5 payable to “<strong>London</strong> <strong>Swimming</strong>”<br />

DSE medical form<br />

Photocopy of FAC (both sides) or relevant classification registration card<br />

Escorts / Coaches / Team managers<br />

I have enclosed the completed forms:<br />

<br />

<br />

Application for a pool side pass<br />

DSE medical form<br />

By entering the <strong>London</strong> <strong>Swimming</strong> <strong>Disability</strong> <strong>Swimming</strong> <strong>Championships</strong> swimmers are<br />

giving consent to photographs being taken of them during the championships by the<br />

organisers or registered photographers.<br />

If you DO NOT give your photographic consent please tick here<br />

entry form.<br />

and return with your<br />

The organisers reserve the right to reject incomplete or late entry forms and<br />

those with no payment.<br />

Please send all completed forms to:<br />

William Collins, 102 Standen Road, Southfields, <strong>London</strong> SW18 5TG<br />

By Monday 17 th September <strong>2012</strong><br />

NEW’ ATHLETES WISHING TO BE CLASSIFIED ENTRY FORMS MUST BE RETURNED BY 27 th<br />

August<br />

8

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