2024 Short Course Championships Para Entry2024 Short Course Championships Para Entry Form Swim England East Region Short Course Championships 2024This form is for Para entries only, for non Para entries please use the main entry system.Swimmer's First NameSwimmer's Last NameDate of BirthClub- Select -Aqualina (Stevenage) Artistic Swimming ClubBasildon and Phoenix SCBeavers Masters Bedford SCBedford Swim SquadBedford Synchro SCBedford Water Polo ClubBerkhamsted SCBiggleswade SCBishops Stortford SCBorehamwood SCBorough of Broxbourne Swim SquadBorough of Southend Swimming and Training ClubBottisham SCBraintree & Bocking SCBrentwood Artistic Swimming ClubBrentwood SCBrocket (Hatfield) Diving AcademyBroxbourne SCBushey Amateur Swimming ClubCambridge Dive TeamCambridge University Swimming & Water Polo ClubCanvey Island SCChatteris Kingfishers SCChelmsford City SCCheshunt Swimming ClubCity of Cambridge SCCity Of Ely Amateur Swimming ClubCity of Norwich SCCity Of Peterborough SCCity of Southend on Sea SCCity of St Albans SCClacton Swimming ClubColchester Phoenix ASCColchester SCDacorum Artistic SCDacorum Diving ClubDeben SCDereham & District SCDiss Otters SCDown Syndrome Swimming Great BritainDunmow Atlantis SCDunstable SCDunstable Water Polo ClubEast Anglian Swallow TailsEpping Forest Dist SCFelixstowe SCFlitwick Dolphins SCGreat Yarmouth SCHadleigh and Sudbury Swimming ClubHalesworth & District SCHalstead Swimming ClubHarlow Penguin SCHarpenden Swimming ClubHarwich Dovercourt/Parkeston SCHatfield SCHemel Hempstead SCHertford SCHertfordshire Aquatics ClubHitchin SCHoddesdon SCHuntingdon Piranhas SCImpington SCKings Langley SCLeighton Buzzard Otters Swimming Club for the DisabledLeighton Buzzard SCLeiston & District Swimming ClubLetchworth ASCLinslade Crusaders Swimming ClubLoughton Masters Swimming ClubLuton Diving ClubMaldon Sharks Swimming ClubMarch Marlins SCMildenhall & District SCNew Hall School Swim ClubNewmarket & Dist SCNorth Norfolk Vikings SCNorwich Swan SCNorwich Synchro ClubNorwich WPCPeterborough Special Olympic Swimming GroupPotters Bar Artistic Swimming ClubPotters Bar SCPutteridge Swimming ClubRickmansworth Swim Club LtdRochford & District SCRoyston SCRunnymede SCSaffron Walden SCSouth Beds Masters Swimming ClubSouthend DivingSt Albans Masters SCSt Felix School SC (Southwold)St Ives SCSt Neots Swans Swimming ClubStanway SCStevenage SCStowmarket SCSuffolk Coastal TorpedoesSwim Fore IT (Ipswich)Team Anglia Masters Swimming ClubTeam Ipswich SwimmingTeam Luton SwimmingTeam Waveney Swimming ClubThetford Dolphins SCThurrock Swimming ClubTring Swimming ClubUniversity of East Anglia Swimming & Water Polo ClubVerulam ASCWare SCWatford SCWatford Water Polo ClubWelwyn Garden SCWest Norfolk Swimming ClubWest Suffolk Swimming ClubWhittlesey SCWisbech Swimming ClubWitham Dolphins SCWoodham Ferrers Swimming ClubSwim England Membership NumberSex Male/Open FemalePara Classification for Freestyle- Select -S1S2S3S4S5S6S7S8S9S10S11S12S13S14EmailBefore entering please check that you have a Qualifying Time for the event.Please tick those events you wish to enter. Each event is £9.00 50 Freestyle 100 Freestyle 200 Freestyle 400 Freestyle 800 Freestyle 1500 Freestyle 50 Butterfly 100 Butterfly 200 Butterfly 50 Backstroke 100 Backstroke 200 Backstroke 50 Breaststroke 100 Breaststroke 200 Breaststroke 100 Individual Medley 200 Individual Medley 400 Individual MedleyI confirm that I have read and agree to the Swim England East Region Short Course Championships Conditions and supplementary Para- Swimming Conditions.I confirm I agree to Swim England East Region storing the data submitted on this form and contacting me in relation to this event.Pay with Credit/Debit CardAdditional information about your entryPAY NOW Shares Facebook Twitter
