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38th SOUTH AFRICAN MASTERS SWIMMING CHAMPIONSHIPS MBOMBELA 2023
This comprehensive entry form for Nationals includes all entry information you need to provide for all individual and social events. Pool and open water relays are to be entered by clubs on a separate form.
The entries will close on 15 January 2023.
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* Indicates required question
Email
*
Your email
Surname
*
Your answer
First Name
*
Your answer
Gender
*
Female
Male
Club
*
Amakhosi
Aqua Athletes
Cape Dolphins
Cape Town Masters
Champion SCM
Coelacanths
Fish Eagles
Florida
Free State
Infinity
MEGA (Masters Eastern Gauteng)
Nelspruit
PE Masters
Swim 1st
Synergy
Vikings
Wahoo
Waterborn
Winelands
Other / International
ID number (or passport)
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Age at 31 December 2023
*
Your answer
Contact number
*
Your answer
Emergency name and contact number
*
Your answer
Number of SA Championships previously attended (excluding this one)
*
Your answer
Are you swimming any individual Open Water events
*
Yes
No
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