County Championship Entry Form BOYS County Championship Entry Form
School: _____________________________________ School: _____________________________________
Coach:  _____________________________________ Coach:  _____________________________________
Phone: ______________________________________ Phone: ______________________________________
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Grade 200 200 50 200 50 50 100 100 500 200 50 100 100 100
SWIMMER Age Level MedR  Free  Back     IM  Free   Brst    Fly  Free  Free FrRel    Fly  Back    IM  Brst SWIMMER
                                   
                                   
                                   
                                   
                                   
                                   
                                   
                                   
                                   
                                   
                                   
                                   
                                   
                                   
                                   
                                   
                                   
                                   
                                   
200 Medley Relay     TEAM ENTRY LIMIT: 3 swimmers per event; 1 relay per school 201 Medley Relay
200 Free Relay     INDIVIDUAL Entry Limit: 2 ind events / 2 relays OR 1 ind ev / 3 relays 200 Free Relay
400 Free Relay     Entry Fee: $4.00 per swimmer payable to Shelby County Swim League 400 Free Relay
Only swimmers not swimming any individual events can be used to make an exhibition relay.
Write the best time from the latest psyche sheet in the appropriate box to enter an event. Write the best time from the latest psyche sheet in the appropriate box to enter an event.
Should you have more swimmers than fit on this page, photo copy this sheet and continue on the 2nd sheet. Should you have more swimmers than fit on this page, photo copy this sheet and continue on the 2nd sheet.
Anyone swimming relays-only needs to also be listed and pay $4.00 entry fee. Anyone swimming relays-only (or exhibition) needs to also be listed and pay $3.00 entry fee.