CARIFTA SWIMMING CHAMPIONSHIPS 2010

PRELIMINARY ENTRY FORM

The following preliminary entry form may be completed instead of the form attached to the Competition Summons. The Organizing Committee will confirm receipt of this information by email to the Contact Person identified below. If you do not receive the confirmation email, please assume that your preliminary entries was not received by the Organizing Committee.


COUNTRY AND FEDERATION INFORMATION

           

FEDERATIONS POSTAL ADDRESS:    

Street or P.O. Box:

Parish or State:      

Country:                         

Zip Code (If applicable):  

FEDERATION PHONE NUMBER:        FAX NUMBER:     

FEDERATION EMAIL ADDRESS: (Enter NONE if not N/A)


CONTACT PERSON INFORMATION

NAME OF CONTACT PERSON:

CONTACT PERSON PHONE NUMBER:      FAX NUMBER:     

CONTACT PERSON EMAIL ADDRESS: (Enter NONE if not N/A)


OUR DELEGATION WILL COMPRISE:

SWIMMING:    

11-12 Female:      13-14 Female:      15-17 Female:     

11-12 Male:          13-14 Male:         15-17 Male:        

Swim Team Officials:    Translator:            

Total Number in Swimming Delegation:

SYNCHRONIZED SWIMMING

12 & Under Solos:   12 & Under Duets:    12 & Under Team:

13-15 Solos:   13-15 Duets:    13-15 Team:

16-18 Solos:   16-18 Duets:    16-18 Team:

Number of Synchronized Swimming Team Officials:

Total Number in Synchronized Swimming Delegation:  

WATER POLO

15 & Under FEMALE:   15 & Under MALE:   

17 & Under FEMALE:   17 & Under MALE:   

Number of Waterpolo Team Officials:

Total Number in Waterpolo Delegation:  

 

 

 Media:     


Additional comments: 

When you select SUBMIT, your CARIFTA2010 Preliminary Entries will be sent to the ASAJ Office. It is important that you include your email address on this page so that the Organizing Committee can confirm receipt.