Clone of Spring Spin - Power Play, Wildcard, Withdrawal and Distance Events Check-in Form

1
Contact email — we'll send your confirmation here.* This field is required.
example@example.com
2
What's your move?* This field is required.
Please Select
Please Select
Wildcard - Play my Wildcard
Intention to swim - I'm racing (distance events 200m & above)
Withdrawal - I need to scratch
3
Who's playing? (athlete name)* This field is required.
First Name
Last Name
4
How old? (age)* This field is required.
5
Which club are you racing for?* This field is required.
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
6
Are you out of the whole meet?* This field is required.
Please Select
Please Select
Yes
No
7
Are you sitting out a whole session?* This field is required.
Please Select
Please Select
No
Yes - Session 1
Yes - Session 2
Yes - Session 3
Yes - Session 4
8
Which event?* This field is required.
Please Select
Please Select
50m Freestyle
100m Freestyle
200m Freestyle
400m Freestyle
800m Freestyle
1500m Freestyle
50m Backstroke
100m Backstroke
200m Backstroke
50m Breaststroke
100m Breaststroke
200m Breaststroke
50m Butterfly
100m Butterfly
200m Butterfly
100m Individual Medley
200m Individual Medley
400m Individual Medley
9
Swimming or scratching?* This field is required.
Please Select
Please Select
I'm in (swimming)
I'm out (scratching)
10
Heat (prelim) or final?* This field is required.
Please Select
Please Select
Heat (prelim)
Final
11
Which event are you submitting your Wildcard for?* This field is required.
Please Select
Please Select
50m Freestyle
100m Freestyle
200m Freestyle
400m Freestyle
800m Freestyle
1500m Freestyle
50m Backstroke
100m Backstroke
200m Backstroke
50m Breaststroke
100m Breaststroke
200m Breaststroke
50m Butterfly
100m Butterfly
200m Butterfly
100m Individual Medley
200m Individual Medley
400m Individual Medley
12
Please confirm in writing that you are withdrawing from this event.* This field is required.
13
Who's filling this in?* This field is required.
14
Best number to reach you on?* This field is required.
first 4 digits of mobile
last 6 digits
15
Your signature* This field is required.
Should be Empty: