ONLINE RECORD APPLICATION FORM


Record applications submitted on this form will only be accepted if the claimed times can be verified on the web site of an official sporting body.

If meet results are not available on the internet, a printed form must be used and mailed to Far North Coast Swimming Association with adequate proof of the claimed swim time.

Please complete all fields before clicking the Submit button at the end of this form.

Far North Coast Swimming Association Inc
Application For Record

 
Swimmer Details    
Your Email Address
First Name: Last Name:
Birth Date: Club:

* * * * * * * * * * * * * * * * * * * *

Meet Details    
Meet Date: Pool:
Meet Name:
Web Address
(URL) of Results:

* * * * * * * * * * * * * * * * * * * *

Record Applied For    
Record Type: Championship records can only come from the FNC Championship Carnivals
Sex:    
Age:    
Distance: metres    

Stroke:

   
Time for Recognition: min sec    
Swum in Heat/Final:    
Split/Finish Time:    

* * * * * * * * * * * * * * * * * * * *

       

Ensure all fields have been completed before pressing the submit button.

       

If receipt of your record application has not been confirmed within one week, e-mail Far North Coast Swimming.


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