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2021 Swimming Carnival
Thursday 11th February, 8.50 am start
Please complete a separate form for each child.
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* Indicates required question
Email
*
Your email
Child Surname
*
Your answer
Child First Name
Your answer
Child date of birth
*
MM
/
DD
/
YYYY
Child House
*
Coolock
Maria Goretti
Carmel
Fatima
Parent name
*
Your answer
Parent contact number
*
Your answer
I give permission for my child to attend the St Xavier's Swimming Carnival.
*
Yes
No
Required
Pool Pass Number (if applicable)
Your answer
Please nominate your child for the events they wish to participate in
Please note students can not swim in both the 25m and 50m races of the same stroke.
Non-swimmer - Novelty events only
Yes
Clear selection
25m
Freestyle
Backstroke
Breaststroke
Butterfly (6-7 year olds ONLY)
50m
Freestyle
Backstroke
Breaststroke
Butterfly
100m
Freestyle
200m Individual Medley
Junior (8-10yrs)
Senior (11-13yrs)
I am able to time keep at the Swimming Carnival on Thursday 11th February.
*
Yes
No
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