NSC Club Record Application
Please complete this form if you or your child has broken a Nunawading Swimming Club record. Please note, records must have been swum at an approved qualifying meet with results uploaded to the Swim Central results database.
Swimmer Name
*
First Name
Last Name
Swimmers Gender
*
Female
Male
Swimmers age at time of record swim
*
Record Type
*
Long Course Record
Short Course Record
Club Championship Record
Event of Record Swum (eg, 50m Backstroke, 200IM)
*
Time Swum
*
Date of Record Swim
*
-
Day
-
Month
Year
Date
Meet of Record Swim
*
Location of Record Swim
*
Name of Person Completing the Form
*
First Name
Last Name
E-mail
*
example@example.com
Submit
Should be Empty: