MINI-LYMPICS ENTRY FORM

 CLOSING DATE FOR ENTRIES IS WEDNESDAY 21 FEBRUARY 2001

Competitors Name       ______________________________________

Club / School      ____________________    Sex   Male/Female ____

Date of Birth        ____________________    Age on 4 March 2001 __

Tel No.       _________________           Fax No.      _______________

Address     ________________________________________________

                    ________________________________________________              

Entry Fees : R7.00 per event (Cheques made payable to Kloof ASC)  

Event No

 Event Official Use Amount Paid
       
       
       
       
       
       

Signature ………………………………………………… Parent / Guardian

Postal Entries: Entry forms and the correct entry fees (cheques made payable to Kloof ASC)

may be addressed to: The Gala Secretary, P O Box 39437, Escombe 4073 

Fax Entries: Deposit the entry fees into the account detailed below and fax a legible copy of the

deposit slip and the entry form to:

Hennie Bezuidenhout            or                Frank McKenzie

Fax   031-361 5963                                 Fax   031-701 3150

Cell   083 449 1277                                  Cell   083 457 9816

Please phone to confirm receipt of your faxed entries.

Bank Details:       First National Bank - Kloof Branch

Account Name    Kloof Amateur Swimming Club

Account No.        50730293144    

  Late Entries:

R15.00 on the day of the meet if lanes are available.

         EVENTS
1 Male 8 & U  100  IM 24 Female 9-9  25  Breast
2 Female 8 & U  100  IM 25 Male 10-10  25  Breast
3 Male 9-9  100  IM 26 Female 10-10  25  Breast
4 Female 9-9  100  IM 27 Male 6 & U  25  Fly
5 Male 10-10  100  IM 28 Female 6 & U  25  Fly
6 Female 10-10  100  IM 29 Male 7-7  25  Fly
7 Male 6 & U  25  Free 30 Female 7-7  25  Fly
8 Female 6 & U  25  Free 31 Male 8-8  25  Fly
9 Male 7-7  25  Free 32 Female 8-8  25  Fly
10 Female 7-7  25  Free 33 Male 9-9  25  Fly
11 Male 8-8  25  Free 34 Female 9-9  25  Fly
12 Female 8-8  25  Free 35 Male 10-10  25  Fly
13 Male 9-9  25  Free 36 Female 10-10  25  Fly
14 Female 9-9  25  Free 37 Male 6 & U  25  Back
15 Male 10-10  25  Free 38 Female 6 & U  25  Back
16 Female 10-10  25  Free 39 Male 7-7  25  Back
17 Male 6 & U  25  Breast 40 Female 7-7  25  Back
18 Female 6 & U  25  Breast 41 Male 8-8  25  Back
19 Male 7-7  25  Breast 42 Female 8-8  25  Back
20 Female 7-7  25  Breast 43 Male 9-9  25  Back
21 Male 8-8  25  Breast 44 Female 9-9  25  Back
22 Female 8-8  25  Breast 45 Male 10-10  25  Back
23 Male 9-9  25  Breast 46 Female 10-10  25  Back