| County Championship Entry Form |
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GIRLS |
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| School:
_____________________________________ |
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| Coach: _____________________________________ |
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| Phone:
______________________________________ |
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1 |
3 |
5 |
7 |
9 |
11 |
13 |
15 |
17 |
19 |
21 |
23 |
25 |
27 |
29 |
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Grade |
200 |
200 |
50 |
200 |
50 |
50 |
100 |
100 |
500 |
200 |
50 |
100 |
100 |
100 |
400 |
| SWIMMER |
Age |
Level |
MedR |
Free |
Back |
IM |
Free |
Brst |
Fly |
Free |
Free |
FrRel |
Fly |
Back |
IM |
Brst |
FrRel |
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| 200 Medley Relay |
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TEAM ENTRY LIMIT: 3 swimmers per event; 1 relay per school |
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| 200 Free Relay |
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INDIVIDUAL Entry Limit: 2 ind events / 2 relays OR 1 ind ev / 3 relays |
| 400 Free Relay |
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Entry Fee: $4.00 per
swimmer payable to Shelby County Swim League |
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| Only
swimmers not in any individual events can be used to make an exhibition
relay. |
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| Write
the best time from the latest psyche sheet in the appropriate box to enter an
event. |
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| Should
you have more swimmers than fit on this page, photo copy this sheet and
continue on the 2nd sheet. |
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| Anyone
swimming relays-only (or exhibition) needs to also be listed and pay $4.00
entry fee. |
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