Manchester
Swim Team |
Senior
Distance Swim Meet |
Southern New Hampshire
University Pool, Manchester NH |
November 19, 2011 |
CONTACT INFORMATION |
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Deck
Coach: |
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Email:
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Entries
Contact: |
Phone:
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Email:
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Address:
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City:
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State:
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ENTRY FEES |
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Individual
Electronic Entries |
@
$5.00 = |
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Individual
Non-Electronic Entries |
@
$5.50 = |
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800
and 1500 Entries |
@
$6.00 = |
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800
and 1500 Non-Electronic Entries |
@
$6.50 = |
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Total: |
Make check payable to: Manchester Swim Team
Mail
entries and check to:
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Entry
Deadline:
November 11, 2011 |
Manchester
Swim Team |
For
e-mailed entries, this form and payment |
c/o
Rhonda Farrington, Entry Chairperson |
must
be received within four business days. |
3
Ledgewood Road |
|
Bedford,
NH 03110 |
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603-264-4152
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Email:
mst@farrington-berg.com |
LIABILITY RELEASE
Any swimmer whose entry is accepted will, for him/herself, his/her heirs,
executors and administrations, waive and release any and all rights and claims
for damages he/she may have against United States Swimming, New England
Swimming, New Hampshire Swim Association, Manchester Swim Team and Southern New
Hampshire University for any and all injuries suffered by him/her at said meet.
In submitting this entry the undersigned team certifies that all athletes in
the entry are registered with USA Swimming.
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Signature
of Authorized Team Official |
Date
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