1. If you have any queries, please email competitions@rdasc.org.uk
preparing podium potential since 1976
Richmond Dales
Amateur Swimming Club
RDASC Gala Entry Form
Gala Date
Gala
Swimmer’s Name MALE /FEMALE
Date of Birth
Age on Date of Gala
Contact Telephone Number
ASA Registration Number
Entries agreed by Coach? Y / N
Coach signature
Event
Enter (tick)
Time (min : sec)
Date Achieved
Gala / Venue where achieved
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 IM
200m IM
400m IM
Total number of entries and cost of total entries (Remember to enclose cheque):
I certify that all details above are correct and that I will abide by the conditions of the gala / meet, including full payment for entry as required.
Signature of Swimmer/Parent
Date:
Make sure you check ALL entry forms with your coach before the closing date.
Please do not leave gala entries until the last minute!
If you have any queries, please