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SE London Festival of Swimming 2021
This entry form should only be used by Enfield Swim Squad members.
PAYMENT FOR GALA ENTRIES WILL BE TAKEN BY DIRECT DEBIT. IF YOU HAVE NOT YET SIGNED UP FOR THE ESS GALA DIRECT DEBIT SCHEME, PLEASE DO SO HERE:
https://pay.gocardless.com/AL0000NJ5PHFXB
.
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* Indicates required question
Email
*
Your email
Swimmer's surname
*
Please enter SURNAME as registered with Swim England.
Your answer
Swimmer's FIRST name
*
Please enter FIRST name as registered with Swim England.
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Swim England Registration Number
*
Go to
www.swimmingresults.org/biogs
to find your number and check your time. If you do not know your Swim England number, please enter '00000'.
Your answer
Contact Mobile Number
*
Your answer
100m Free
If you wish to enter this event, please enter your time in the following format: MM:SS.HH (e.g. 05:23.09; where minutes are 0, enter '00' for MM, e.g. 00:31.65). If you do NOT wish to enter this event, please leave blank.
Your answer
200m Free
If you wish to enter this event, please enter your time in the following format: MM:SS.HH (e.g. 05:23.09; where minutes are 0, enter '00' for MM, e.g. 00:31.65). If you do NOT wish to enter this event, please leave blank.
Your answer
400m Free
If you wish to enter this event, please enter your time in the following format: MM:SS.HH (e.g. 05:23.09; where minutes are 0, enter '00' for MM, e.g. 00:31.65). If you do NOT wish to enter this event, please leave blank.
Your answer
100m Back
If you wish to enter this event, please enter your time in the following format: MM:SS.HH (e.g. 05:23.09; where minutes are 0, enter '00' for MM, e.g. 00:31.65). If you do NOT wish to enter this event, please leave blank.
Your answer
200m Back
If you wish to enter this event, please enter your time in the following format: MM:SS.HH (e.g. 05:23.09; where minutes are 0, enter '00' for MM, e.g. 00:31.65). If you do NOT wish to enter this event, please leave blank.
Your answer
100m Breast
If you wish to enter this event, please enter your time in the following format: MM:SS.HH (e.g. 05:23.09; where minutes are 0, enter '00' for MM, e.g. 00:31.65). If you do NOT wish to enter this event, please leave blank.
Your answer
200m Breast
If you wish to enter this event, please enter your time in the following format: MM:SS.HH (e.g. 05:23.09; where minutes are 0, enter '00' for MM, e.g. 00:31.65). If you do NOT wish to enter this event, please leave blank.
Your answer
100m Fly
If you wish to enter this event, please enter your time in the following format: MM:SS.HH (e.g. 05:23.09; where minutes are 0, enter '00' for MM, e.g. 00:31.65). If you do NOT wish to enter this event, please leave blank.
Your answer
200m Fly
If you wish to enter this event, please enter your time in the following format: MM:SS.HH (e.g. 05:23.09; where minutes are 0, enter '00' for MM, e.g. 00:31.65). If you do NOT wish to enter this event, please leave blank.
Your answer
200m IM
If you wish to enter this event, please enter your time in the following format: MM:SS.HH (e.g. 05:23.09; where minutes are 0, enter '00' for MM, e.g. 00:31.65). If you do NOT wish to enter this event, please leave blank.
Your answer
400m IM
If you wish to enter this event, please enter your time in the following format: MM:SS.HH (e.g. 05:23.09; where minutes are 0, enter '00' for MM, e.g. 00:31.65). If you do NOT wish to enter this event, please leave blank.
Your answer
Name of your squad:
*
Choose
PPE/PPO
AGPE/AGPO
MAS
I CERTIFY THAT ALL TIMES AND DATA ARE ACCURATE AT TIME OF SUBMISSION. I AUTHORISE ESS TO COLLECT THE RELEVANT EVENT ENTRY FEES VIA DIRECT DEBIT.
*
Please see gala conditions for detail of entry fees. ESS will charge an additional £1 per swimmer to cover admin cost. IF YOU HAVE NOT YET SIGNED UP FOR THE ESS GALA DIRECT DEBIT SCHEME, PLEASE DO SO HERE:
https://pay.gocardless.com/AL0000NJ5PHFXB
.
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