Please complete this form to declare for Southern Senior Champs                            November 29 - December 2, 2018

Meet location: The Woodlands

This is a prelim/final Meet.  

Qualifying times can be found here

Meet Fees: $15.00 per event, $15.00 BAT coaching Fee, $10.00 swimmer Surcharge, Relays $30.00

Must declare by Wednesday November 14, 2018

Swimmer Birthdate *
Swimmer Birthdate
cell phone
cell phone
1000 Free
200 MedRelay, 100 breast, 200 free, 100 fly, 400 IM, 400 Free Relay
200 fly, 50 free, 200 breast, 100 back, 500 free, 800 Free Relay
200 Free Relay, 100 Free, 1650 Free, 200 back, 200 IM, 400 MedRelay
please provide any additional information (ie: desired events, limitations such as having to leave meet early, or arrive late etc)