Please complete this form to declare for PEAK Senior Meet                    November 4-5, 2017

14 & under's must have 15-16 "AA" times to enter this meet.  No qualifying standards for 15&over's to enter

Meet Fees: $5.75 per event,  $15.00 BAT coaching Fee,  $3.50 swimmer/facility Surcharge

Must declare by Wednesday October 18, 2017

Swimmer Birthdate *
Swimmer Birthdate
cell phone
cell phone
200 free, 100 back, 100 breast, 400 IM
200 IM, 50 free, 100 fly, 500 free
200 fly, 100 free, 200 breast, 200 back, 1650 free
please provide any additional information (ie: desired events, limitations such as having to leave meet early, or arrive late etc)