CCL Swimming

Member Name *

Member Code *

Mobile Numer *

Who will join Swimming Competition?SelfSpouseSonDaughter

SelectWhich competition category would like to join?a) Below 10 Years - Boys 25 Metersb) Below 10 Years - Girls 25 Metersc) 11-14 Years - Boys 25 Metersd) 11-14 Years - Girls 25 Meterse) 15 - 21 Years - Boys 50 Metersf) 15-21 Years - Girls 25 Metersg) 22 - 28 Years - Boys 50 Metersh) 22 - 28 Years - Girls 25 Metersi) Members / Spouse Gents 29+ 50 Metersj) Members / Spouse Ladies 29+ 25 Metersk) Veterans 51+ 25 Meters

Name of Swimming Competitor

Date of Birth of Swimming Competitor

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