M1 Swimming Club - Record Application
Please submit this to apply for recognition of a club record.
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Email *
Full name of person submitting this application *
First name of swimmer *
Last name of swimmer *
Swimmer's gender *
Swimmer's date of birth *
MM
/
DD
/
YYYY
Swimmer's age on day record was achieved *
Date when record was achieved *
MM
/
DD
/
YYYY
Name of swim meet where record was achieved
 *
Type of record *
Event record was achieved in (distance and stroke)
eg. 200 Free *
Time swum *
Submit
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