Leinster Swimming Senior Schools Entry Form
This entry system is for swimmers who are NOT currently registered with a Swim Ireland swimming club and who wish to participate at the Leinster Senior schools Meet on Sunday 5th Feb 2023. Please read the Meet information before completing this form. ( Swimmers who are club members should register through their club)
SCHOOL NAME & School Address
School Name
School Address
Town
County
EIR Code
SCHOOL CONTACT Details (Swim Coach / PE teacher / School principal)
*
First Name
Last Name
School contact email address
example@example.com
Swimmer Name
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Event 1
Please Select
100m Backstroke
100M Breastroke
100M Butterfly
100M Freestyle
200M Individual Medley
Entry time for Event 1
Event 2
Please Select
100m Backstroke
100M Breastroke
100M Butterfly
100M Freestyle
200M Individual Medley
Entry time Event 2
Select to enter 400 freestyle option
Entry Time for 400 Freestyle
Email for all correspondence
example@example.com
Select the number of events entered above
prev
next
( X )
EVENTS ENTERED
Please select the number of events your swimmer is entering.
€
9.00
Quantity
0
1
2
Item subtotal:
€
0.00
RELAY Team entry
One swimmer in the correct relay age should enter the relay only
€
20.00
Quantity
0
1
2
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: