Swimming Gala


Fulton Swim School Swimming Gala Online Entry Form


(Only available for Fulton Swim School Swimmers:) - 28th September 2011 at 7 - 8pm

* Denotes a required field and therefore must be filled in:
*Parent's Name:  
*Child's Name:  
*Age:  
*Phone Number:  
*Email Address:  
*Fulton Swim School Group level:  
Entries are $5.00 per child for unlimited races:
Races: (1 length = 20m) (tick box)
20m Freestyle:  
20m Breaststroke:  
20m Backstroke:  
40m Freestyle:  
 
Please pay online to Fulton Swim School Swimming Gala Account number: 06-0405-0187379-00
*Payment is required immediately, if payment has not been received via online payment in 2 working days entries will be cancelled.
Confirm Payment -  
(Please tick if payment has been made)