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Midlands Para Meet
Athlete's name
*
Category
Untitled multiple choice field
A
Open/Male
*
B
Female
Athlete's Swim England number
*
Athlete's club
Athlete's club
*
Athlete's Classification
*
Event entries (please add entry time as mm:ss.00 or YES if no time) - swimmers going through classification must enter at least 100FR and 100BR.
Email address
*
Please let us know if the following applies
Untitled checkboxes field
I have epilepsy
I require an outside lane
Declaration
*
Declaration
I acknowledge that I have read and understood the conditions of the meet
Submit
