SUMMARY
SHEET
The
Cape Cod Swim Club
Age
Group and Senior Team Specialty Meet
Name of Team:______________________________________ Code Letters:__________
Team Mailing Address:_______________________________________________________
Coach:__________________________________________ Phone:________________________
Contact Person:__________________________________ Phone:_________________________
Number of Entries:
Computer Entries (add $0.50
per splash for paper entries):
Girls
_____ x $2.50 = __________
Boys
_____ x $2.50 = __________
Distance
_____ x $4.00 = __________
*400 yards and over
Relays
_____ x $7.00 = __________
TOTAL __________
Entry Deadline: Nov. 2,
2001
Please make checks
payable to: Friends of the CCSC
Mailing Address: P.O. Box 966 (14 Ellen Lane), Pocasset, MA 02559-0966
Any
swimmer whose entry is accepted, will for himself, his heirs or executors and
administrators, waive and release any and all rights and claims for damages
he/she may have against USA Swimming, New England Swimming, The Cape Cod Swim
Club, The Massachusetts Maritime Academy, the Commonwealth of Massachusetts
for any and all injuries suffered by him/her at said meet.
_____________________________
Signature: Authorized Team Official
Names and phone numbers of Certified Officials from your club: _________
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