Entry Form

                        Rotary Swimathon

                              Bedford School Pool

                          Saturday 15th March 2008

.

.

Team Name..................................................................................................................................

Team Captain................................................................................................................................

Address.........................................................................................................................................

.....................................................................................................................................................

..............................................................................Postcode.........................................................

Telephone .............................................................Email................................................................

I confirm, as Team Captain, that I am over 17 years of age.....................................................................signature.

Sponsorship

Either : We nominate The Rotary Club of Bedford Benevolent Fund to receive all sponsorship money......YES/NO

or:        Our Team's Registered Charity (to receive 50% of sponsorship collected) is.......................................................................................................

(if no Registered Charity is nominated then all of Sponsorship will go to The Rotary Club of Bedford Benevolent Fund (Charity Number 210686) )

Preferred Swimming Start Time: (Hourly from 9.00 a.m. to 3.00 p.m.)

(1) ................................................ (2)..........................................................(3).................................................

                                            TEAM MEMBER'S NAMES

   (Teams to consist of UP TO 6 swimmers. Names may be submitted later if not known at time of Team Entry.)

Team Member 1 ....................................................................................................         

Team Member 2 ....................................................................................................         

Team Member 3 ....................................................................................................         

Team Member 4 ....................................................................................................         

Team Member 5 ....................................................................................................         

Team Member 6 .....................................................................................................  

Last Entries - 15th February 2008

Please return this form to

Rotary Swimathon Contact

Mike Gilbert, Bellever, 25 High Street, Roxton, Bedfordshire, MK44 3EA.

Tel: 01234 870077 ...............E-mail: gilberts@uk4dsl.co.uk