STOURBRIDGE SWIMMING CLUB PB ENTRY FORM

First Name                         Last Name

DOB

M

F

ASA Number

 To enter your personal best times fill in all the boxes. Note boxes with bold titles must always be completeted. If your time was acheived in training please state the date ,venue and the coaches name as he will be required to verify it. 

Stroke

Time (Format 00:00.00)

Event and Location

Date of Swim

Name of Coach if available

Notes:

Distance