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Name: Phone: Judge: Name: Qualification: Number of Swimmers: Number of Coaches: Number of Spectators: Entry Fee Enclosed: £ I confirm that I have read and understood the conditions of entry and health and safety declaration. Signed: _____________________________ Date: _________________ Position in Club: _____________________________ Please return this sheet with entries and cheque to: Senga Restorick 78 Preston Crescent Prestonpans EH32 9RB Closing Date: Midnight Friday 20th August 2010

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restors
Language
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