Withdrawal Form – Swim England Forms

Withdrawal Form

Swimmer's Details - Step 1 of 4

Swimmer's Membership Number

Enter the membership number if known.

Swimmer's Name *

First

Last

Swimmer's Sex *

Swimmer's Club *

Select the events you wish to withdraw from.

Heats or Final *

Event *

Events *

50m Freestyle
100m Freestyle
200m Freestyle
400m Freestyle
800m Freestyle
1500m Freestyle
50m Backstroke
100m Backstroke
200m Backstroke
50m Breaststroke
100m Breaststroke
200m Breaststroke
50m Butterfly
100m Butterfly
200m Butterfly
100m IM
200m IM
400m IM

Who is making this withdrawal? *

Swimmer
Coach/Team Manager/Parent/Other

Name of the person making the withdrawal *

First

Last

Position of the person making the withdrawal *

Email Address of the person making the withdrawal *

Email

Confirm Email

This email address will only be used to send you confirmation of this withdrawal or to contract you in the event of any queries relating to this withdrawal.

Declaration *

I am authorised to make this withdrawal and it's inline with the meet conditions.