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====> This form must accompany entries along with NESwimming
master entry list <====
Club Name________________________________________________________ Abbreviation ___________
Club Address __________________________ City_________________ State_______ Zip code __________
Head Coach ____________________________________________ Phone # __________________________
Club Phone #
__________________________ E-Mail*
__________ FAX # __________________________
* Results will be sent the following Monday AM if address furnished
Any swimmer whose entry is accepted will, for himself, his heirs, executors and administers, waive and release any and all rights and claims he may have against the Charles C. White Pool, Haverhill High School, the City of Haverhill, the New England Barracudas Swim Team and New England Swimming for any and all injuries suffered by himself at this meet.
Phone Number (Days) __________________________ (Evenings) __________________________
Phone Number (Days) __________________________ (Evenings) __________________________
Entries should be sent Certified mail, return receipt
requested to: Snowball 2000, c/o 62 Jasper St., Haverhill, Ma. 01830
Make checks payable to NEB
Snowball Classic.
Amount Enclosed
Number of Events |
1650 |
_____ |
X $4.00 = |
_____ |
Number of Events |
Girls |
_____ |
X $2.00 = |
_____ |
Number of Events |
Boys |
_____ |
X $2.00 = |
_____ |
Number of Events |
Total |
______ |
Total |
_____ |
Names of individuals willing to time/ officiate: |
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(Do not write below this line)
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Postmark Date __________ Received __________ Check # ______