peterhead amateur swimming club graded age ... - Swim Scotland

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GRADED AGE GROUP MEETSATURDAY 11 FEBRUARY 2012NAMEMENTORSESSIONREQUESTREC/TKJ1/J2/J2SSIGNREQD Y/NSESSIONS –1, 2 OR BOTHPLEASE STATE CLEARY MENTORING DUTY, IE J1, J2STO Contact Name ……………………………………………………… Tele No …………………………...I confirm that all swimmers entered from ……………………………………….(<strong>club</strong>) havepaid their current SASA membership fees.Signed ……………………………………………………… Position in Club .............................................SUMMARY OF ENTRY……….. Individual girl swims @ £4.00 ………………..……….. Individual boy swims @ £4.00 ………………..TOTAL ENCLOSEDName and address of <strong>club</strong> contact:………………..………………………………………………………………………..………………………………………………………………………..………………………………………………………………………..Tele: …………………………………………………………….E-mail: …………………………………………………………