| National Winter Masters 2003 |
| Manchester Aquatics Centre |
| Booth St East |
| Manchester M1 |
| November 15th /16th 2003 |
| Please complete the entry form and return to the address given below before the closing date, together with the entry fees shown. |
| Name: |
| Club: . |
| Address: .. |
| Telephone: Date of Birth: .. |
| E-mail Address: . |
| Age Group | Events Entered | ||
| 16 - 24 | q | Novice Masters | q |
| 25 - 29 | q | ||
| 30 - 39 | q | Masters Championship | q |
| 40 - 49 | q | Masters Synchro | q |
| 50 - 59 | q | Masters Hat Comp | q |
| 60 - 69 | q | Sex | |
| 70 + | q | Male | q |
| Female | q |
| Event Entry fees are £ 6.00 for the individual events, and £ 3.00 per diver for the Synchro competition. |
| Non GBDF members will be charged a £ 5.00 Temporary membership to cover the duration of the events. All cheques payable to GB Diving Federation. |
| Late entries will pay £3 per event penalty. |
| Number of events entered
..
GBDF Member Yes/No |
Entry Fees enclosed £
Party deposit @ £5.00 £ |
| ( ) x Tee shirts @ £10.00 = £
..
( ) x Polo Shirts @ £15.00 = £ |
Chest size
inches
Chest size inches |
| Total Enclosed £ .. |
| No entries accepted without payment |
| Please send entries NO LATER than 24th October to: |
| Mrs Lesley Grist |
| 6 Derwent Avenue, Wilsden, |
| Bradford, West Yorkshire. |
| BD15 0LY |
| Telephone No 01535 273633 |