Australian Multi Class Record Application Form

AUSTRALIAN MULTI CLASS RECORD APPLICATION FORM
Name of Competitor*

First NameLast Name
Date of birth*

DayMonthYear
Your E-mail*
Club*
State*
Gender*
Age Group*
Classification*
Stroke & Distance*
(eg 50m Freestyle)
Length of Course*

Short Course - 25mLong Course - 50m
Electronic Time*
Competition Title*
City where record was achieved*
Name of Pool*
Date of Race*

DayMonthYear
Name of Referee*
Copy of Race Results*

Browse Files
Meet Mobile screenshots are not accepted. Please see AOE Operator for copy of official results Cancelof
Postal Address for MC Certificate*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
A copy of this record application will be forward to your State Swimming Association.
Multi Class records can be broken during Able-Body swimming events provided the meet was approved.
A record certificate will be posted to you in due course following this submission.
Records will be displayed on the Swimming Australia website under
HOME > EVENTS & RESULTS > RESULTS > RANKINGS AND RECORDS

For any questions, please reach out to Shannon via events@swimming.org.au
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AUSTRALIAN MULTI CLASS RECORD APPLICATION FORM