Potters Bar Swimming Club and Age Group Club Record Claim form
This form should be completed in the event a swimmer has set a new club or age group record.  Once the record is verified  it will be published on the website
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Email *
Name of Swimmer *
 Swim England Number of Swimmer *
Gender of Swimmer *
Name of gala *
Location of gala *
Date of gala *
MM
/
DD
/
YYYY
Age on day of event *
Course *
Stroke *
Distance *
Recorded Time *
Please enter the new time swum in the format of mm:ss.xx.
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