BRITISH MASTERS AND SENIOR AGE GROUP CHAMPIONSHIPS 2017ABERDEEN AQUATICS CENTRE, ABERDEEN16th – 18th JUNE

TEAM DECLARATION FORM Clubs must complete a team declaration form, which must be handed to the Resolution Table by the completion of the preceding session (exact timings in confirmation pack) in which the relevant team event takes place. Teams not complying with this instruction will NOT be allowed to compete. Where a club has more than one team in an event, a swimmer who has been declared for one team may not compete for another team in the same event.

CLUB or TEAM NAMEEVENT NUMBER

TYPE OF TEAM(Circle as appropriate)

MALE FEMALE MIXED

TEAM EVENT(Circle as appropriate)

4 x 50m Free Team 4 x 100m Free Team 4 x 200m Free Team4 x 50m Medley Team 4 x 100m Medley Team

AGE GROUP(Circle as appropriate)

72 + yrs 100 – 119 yrs 120 – 159 yrs 160 – 199 yrs200 – 239 yrs 240 – 279 yrs 280 – 319 yrs Other

NAMES OF SWIMMERS IN SWIM ORDERSWIMMERS’ NAMES NATIONALITY BRITISH SWIMMING MEMBERSHIP NUMBER AGE AS OF

31 ST DEC

TOTAL AGE(RECORDER TO RETURN BOTTOM SLIP TO TEAM MANAGER)

……..................................................................................................................................................................Swimmer Age Event

Event No

Received by (Recorder)Date Time

Total AgeNB: Swimmers not ALREADY registered will not be allowed to swim

Team Manager’s Name:Please print clearly.

Signature: