Australian Record Application Form

AUSTRALIAN RECORD APPLICATION FORM
Name of Competitor*

First NameLast Name
Date of birth*

DayMonthYear
Club*
State*
Gender*
Your E-mail*
Date of Race*

DayMonthYear
Electronic Time*
Age Group*
Stroke & Distance*
(eg 50m Freestyle)
Record Type*
Length of Course*

Short Course - 25mLong Course - 50m
Competition Title*
Manufacturer and model of the swimsuit worn*
City where record was achieved*
Name of Pool/Venue*
Name of Referee*
Copy of Race Results*

Browse Files
Meet Mobile screenshots are not accepted. Please see the AOE Operator for a copy of official results during the meet, or take a screenshot from Swim Central after results have been loaded and approved. Cancelof
Postal Address for Record Certificate*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
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 or to apply for a Relay Record, please reach out to Shannon via events@swimming.org.au
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AUSTRALIAN RECORD APPLICATION FORM