LCRegistration

NORTH CREEK INVITATIONAL LONG COURSE MEET

JULY 14, 2013

Swimmer entries and team roster files must be received by 9 PM Friday, July 12.

If sent after 9 PM July 12, add $15 late registration fee. Read the Deadline section on the 4th page of the Long Course Info document for details.

Please email this information to Don Archer at darcher561@verizon.net

and provide options for confirmation of receipt or hand deliver to:

Don Archer

20136 Darlington Drive.

Montgomery Village, MD 20886

301-990-1689

Please include the following information in your email or hand copy:

Team name_____________________________ Date ______________

Submitted by _________________________Phone ______________

Email address _________________________________

Number of entries _________ at $3.00 Total $__________

Number of team relays (1 or 2) _________ at $12.00 Total $_________

Number of open relays (Events 50 – 53) ________ at $8.00 Total $_________

After 9 PM July 12, add late registration fee = $15.00

Total of check enclosed (made out to North Creek Swim Team) $________

Name of Timer 1 __________________________________________

Name of Timer 2 __________________________________________

Name of Timer 3 __________________________________________

Name of Certified Official ___________________________________

Job Preferred (Chief Judge, Starter, or Stroke & Turn)

Thank you for participating in the North Creek Invitational Long Course Meet