BRITISH MASTERS AND SENIOR AGE GROUP CHAMPIONSHIPS 2017

ABERDEEN AQUATICS CENTRE, ABERDEEN

16th 18th JUNE

Team Declaration Form

Clubs must complete a team declaration form, which must be handed to the Resolution Table by the completion of the preceding session (exact timings in confirmation pack) in which the relevant team event takes place. Teams not complying with this instruction will NOT be allowed to compete.

Where a club has more than one team in an event, a swimmer who has been declared for one team may not compete for another team in the same event.

CLUB or TEAM NAME

EVENT NUMBER

TYPE OF TEAM

(Circle as appropriate)

MALE

FEMALE

MIXED

TEAM EVENT

(Circle as appropriate)

4 x 50m Free Team

4 x 100m Free Team

4 x 200m Free Team

4 x 50m Medley Team

4 x 100m Medley Team

AGE GROUP

(Circle as appropriate)

72 + yrs

100 119 yrs

120 159 yrs

160 199 yrs

200 239 yrs

240 279 yrs

280 319 yrs

Other

NAMES OF SWIMMERS IN SWIM ORDER

Swimmers Names

Nationality

British Swimming Membership Number

Age as OF 31st Dec

Team Managers Name:

Please print clearly.

Signature:

Total Age

(Recorder to return bottom slip to team manager) ..................................................................................................................................................................

Swimmer

Age

Event

Event No

Received by (Recorder)

Date Time

Total Age

NB: Swimmers not ALREADY registered will not be allowed to swim