Name of Swimmer: ______________________________________________
Swimmer’s Birthdate: ____________________________________________
|
Name and Date of Meet |
Age on the Day of the Meet |
Event Swam and Time |
Gold or Silver Time? |
Please complete this form and attach a copy of the swimmer’s report card. Both must be received in order to be considered for the Elite Scholar Athlete Award.
A Copy of this Application Must be
Received by Bill by Wednesday, March 31, 2010
Mail to: Bill Deatly
Elite Swim Club
32 Prospect Street
Summit, New Jersey 07901