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500M SWIM

500M

SWIM

Swimming At *Epworth Swimming Pool, PMBArboretum Swimming Pool, R/BayPick Your Swimming Event Location

Details

Swimming for:

Contact Name *

Email Address *

Phone *

500M SWIM:1. All swimmers completing their event will receive a finishing medal 2. The fastest swimmer of the main event 12 & under who has not won a price in either 250m, 1000m, or 1500m events will win a prize

Swimmer Name & Surname *

Date Of Birth *

Date of Swimmer birth

Age Group *12 & Under – Main Event13 & Over – Not eligible for prize monies

Gender *MaleFemale

MEDALS & PRIZES	EVENT	MEDALS	CASH PRIZE
MEDALS	12 & Under Only	All finishers receive a finishing medal	FASTEST SWIMMER R250
WINNERS PRIZE	13 & Over Mixed Only	All finishers receive a finishing medal	N/a

Enrty Fee *EFT R90.00

Total

Send payment confirmation to ushakasevents.co.za

PAYMENT INFORMATION:

Entry fee is to be paid via EFT into the following Bank Account.

Account Name:	Ushaka Aquatics
Bank:	Capitec
Account Number:	1052678319
Account Type:	Business Cheque
Branch Code:	450105
Swift Code:	CABLZAJJ
Reference:	Full Name or Team name
Proof of Payment:	Email to ushakasevents@gmail.com

GENERAL:

For any additional information please contact the Event Manager:
Shirley Davidson: Cell 0767548948
Email: ushakasevents@gmail.com

Consent *

Yes, I agree with the Rules and Regulations.

Empangeni

ushakasevents@gmail.com

076 754 8948

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