Scenic City Aquatic Club

Meet Registration Form

NAME ____________________________________ AGE ____ MEET Southeasterns

DATES OF MEET July 17-20 U.S.A. # ___________________________*

________|_______|__________|_________________________|_________________|

* USA swimming registration # is your birthday in 6 digits then the first 3 letters of your legal first name followed by your middle intial, then the first 4 letters of your last name. Any letters that you don't have are substituted with an *.

· Example Emily S. Woods is 112382EMISWOOD.

# of Events ________ X Entry Fee$5.00 = ______________

Surcharge$8.00 Total Fee ______________

Return this form with your entry fee to your coach. Make checks payable to Scenic City Aquatic Club.

Motel Information

Motel **You should already have your room confirmed.