1000M RELAY TEAMS: – Leomat 1000

1000M RELAY

TEAMS

Company details

School/Club Name *

Contact Name *

Email Address *

Phone *

1000M RELAY TEAMS:1. Relays will be swum on Friday 29 November 2024 between 12h30 and 16h00 2. 1000m Relay teams must consist of 5 swimmers 3. Relays to be swum in no less than 50m lengths with a total of 200m per swimmer 4. All swimmers completing their relay will receive a finishing medal 5. Gold, Silver and Bronze medals will be awarded to the top 3 in each category 6. Fastest Relay Team of Primary School, High School and Social Relays will receive a prize

Swimmer Name & Surname *

Date Of Birth *

Date of Swimmer birth

Gender *MaleFemale

MEDALS & PRIZES	Primary School	High School	Social Relay	General
MEDALS	Gold, Silver, Bronze	Gold, Silver, Bronze	Gold, Silver, Bronze	All finishers receive a finishing medal
WINNERS PRIZES	PRIZE	PRIZE	PRIZE	N/a

Entry Fee: *EFT R500.00

Payment ChoiceBobum XL Leomat 1000 Towel R225.00 Swimmer 1Bobum XL Leomat 1000 Towel R225.00 Swimmer 2Bobum XL Leomat 1000 Towel R225.00 Swimmer 3Bobum XL Leomat 1000 Towel R225.00 Swimmer 4Bobum XL Leomat 1000 Towel R225.00 – Swimmer 5

Total:

R

Send payment confirmation to leomat1000@gmail.com

PAYMENT INFORMATION:

Entry fee is to be paid via EFT into the following Bank Account.

Account Name:	Leomat 1000
Bank:	Capitec
Account Number:	1052678319
Account Type:	Business
Branch Code:	450105
Swift Code:	CABLZAJJ
Reference:	Full Name or Team name
Proof of Payment:	Email to leomat1000@gmail.com

GENERAL:

For any additional information please contact the Event Manager:
Shirley Davidson: Cell 0767548948
Email: leomat1000@gmail.com