1500M SWIM: – Ushaka Events

1500M SWIM

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

Swimming for:

Contact Name *

Email Address *

Phone *

1500M SWIM:1. All swimmers completing their event will receive a finishing medal 2. Fastest swimmer only of the event will receive a prize.

Swimmer Name & Surname *

Date Of Birth *

Date of Swimmer birth

Category *Open MaleOpen Female

MEDALS & PRIZE	All swimmers receive a medal
CASH PRIZE	FASTEST SWIMMER R1000

Entry Fee *EFT R200.00

Total

R

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

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