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Please fill out the following form to register your intention to SWIM for the 400 free, IM, 800 free, 1500 free. All WITHDRAWALS are to be completed via Swim Central.
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Are you submitting a Withdrawal or Intention to Swim?
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Withdrawing? This form redirects you to Swim Central.
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Intending to Swim
Withdrawing
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Intending to Swim
Withdrawing
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2
Swimmer Name
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First Name
Last Name
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3
Please select the Athletes Club?
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Visiting Club
Barossa
Berri (SA)
Blue Lake Y
Booleroo Centre
Broken Hill Aquatic
Burra
Clare
Clovercrest
Crystal Brook
Dolphins (SA)
Gawler
Gladstone (SA)
Great Southern (SA)
Henley & Grange
Immanuel
Jamestown
Keith
Kent Town
Loxton
Mallee
Marion
Mount Barker (SA)
Mount Gambier
Murray Bridge
Norwood
Onkaparinga
Orroroo
Payneham
Penola
Playford Aquatic
Port Augusta
Port Pirie
Purruna
Quorn
Roxby Downs
Silver City
Southern Performance
STARplex
Tea Tree Gully
The Parks
Unley
Vitor Renmark
West Coast (SA)
Western Aquatic (SA)
Whyalla
Please Select
Please Select
Visiting Club
Barossa
Berri (SA)
Blue Lake Y
Booleroo Centre
Broken Hill Aquatic
Burra
Clare
Clovercrest
Crystal Brook
Dolphins (SA)
Gawler
Gladstone (SA)
Great Southern (SA)
Henley & Grange
Immanuel
Jamestown
Keith
Kent Town
Loxton
Mallee
Marion
Mount Barker (SA)
Mount Gambier
Murray Bridge
Norwood
Onkaparinga
Orroroo
Payneham
Penola
Playford Aquatic
Port Augusta
Port Pirie
Purruna
Quorn
Roxby Downs
Silver City
Southern Performance
STARplex
Tea Tree Gully
The Parks
Unley
Vitor Renmark
West Coast (SA)
Western Aquatic (SA)
Whyalla
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4
Which Session is your event in?
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Session 1
Session 3
Session 5
Session 6
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Please Select
Session 1
Session 3
Session 5
Session 6
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5
Session 1 - Which event are you CHECKING IN for?
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800m Freestyle
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Please Select
800m Freestyle
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6
Session 3 - Which event are you CHECKING IN for?
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400m Freestyle
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Please Select
400m Freestyle
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7
Session 5 - Which event are you CHECKING IN for?
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400m Individual Medley
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Please Select
400m Individual Medley
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8
Session 6 - Which event are you CHECKING IN for
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1500m Freestyle
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Please Select
1500m Freestyle
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9
Name of Person Completing Form
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10
Contact Email - for confirmation
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example@example.com
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11
Signature of person completing form
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2026 SA Short Course State Championships - Distance Events Check-in
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