Team Luton April 2020 Open Meet
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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Email *
Swimmer's surname *
Please enter SURNAME as registered with Swim England.
Swimmer's FIRST name *
Please enter FIRST name as registered with Swim England.
Date of Birth *
MM
/
DD
/
YYYY
Gender *
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'.
Contact Mobile Number *
50m 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.
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.
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.
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.
50m 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.
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.
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.
50m 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.
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.
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.
50m 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.
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.
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.
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.
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.
800m 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.
1500m 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.
Name of your squad: *
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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