HartMasters

Hart Masters Relay Entry Form

7thJune 2025
Club Name*
Contact Name*
Contact Email*
Mobile Number*
Relay Team*
Relay Age Groups will be calculated on combined ages and must consist of 2 Open/Male & 2 Female Swimmers.:
- 72 – 119 years
- 120 – 159 years
- 160 – 199 years
- 200 – 239 years
- 240 years plus
Relay Event (£15 per team entry)*

Event 112 - 4 x 50m Freestyle Mixed RelayEvent 212 - 4 x 50m Medley Mixed Relay

4 x 50m Mixed Relay Swimmer Details

Combined Age of entered Swimmers
All relays must be entered and paid for by Monday 2nd June 2025 and must include the details of all swimmers.

Electronic entries maybe amended up until start of warm-up on the 7th of June should there be a change in swimmer.

Payment details will be provided to you via confirmation email following your entry submission.
Should be Empty:

Hart Masters Relay Entry Form