2026 Liverpool & District Championships

Events (tick events to be entered and complete the boxes)

Rows	Entering	PB Time LC, or SC converted to LC	When achieved
50m Freestyle
100m Freestyle
200m Freestyle
400m Freestyle
800m Freestyle 12 years and older
1500m Freestyle 12 years and older
50m Backstroke
100m Backstroke
200m Backstroke
50m Breaststroke
100m Breaststroke
200m Breaststroke
50m Butterfly
100m Butterfly
200m Butterfly
200m IM
400m IM 12 years and older

Number of events entered*
Payment:
Subtotal, £*
Contribution to coaches' passes, £*
TOTAL, £*
Payment by BACs to Prescot SC's bank account with the reference:
'Name of Swimmer' LD26, e.g. E Hewett LD26

Please can payment be remitted the same day that this entry form is submitted.
I have read the Data Protection Statement - Meet conditions 11. (Please tick).
Should be Empty: