Primary School Swimming Carnival Nomination Form
Student's Name
*
First Name
Last Name
Year of Birth
*
Please Select
2010 (12 Years)
2011 (11 Years)
2012 (10 Years)
2013 (9 Years)
2014 (8 Years)
Does this child wish to swim in any of the formed strokes (Backstroke, Breaststroke and Butterfly)?
*
Yes
No
Back
Next
Formed Stroke, distance and relay event nomination
Formed strokes require a level of technical skill. If in doubt of your child's ability to technically swim the stroke over the required distance then do not nominate them. Likewise if your child does not swim 100m or more regularly do not nominate them in the distance event.
Events
*
Rows
Yes
No
100m Open Freestyle (9-12 Years Only(born 2013, 2012, 2011, 2010)) Only nominate if child can swim 100m without stopping.
1
2
25m Butterfly (8 Years only (born 2014))
3
4
25m Backstroke (8 Years only (born 2014))
5
6
25m Breaststroke (8 Years only (born 2014))
7
8
50m Butterfly (9-12 Years only (born 2013, 2012, 2011, 2010))
9
10
50m Backstroke (9-12 Years only (born 2013, 2012, 2011, 2010))
11
12
50m Breaststroke (9-12 Years only (born 2013, 2012, 2011, 2010))
13
14
Back
Next
Do you have another child to nominate?
Yes
No
Back
Next
Student's Name
*
First Name
Last Name
Does this child wish to swim in any of the formed strokes (Backstroke, Breaststroke and Butterfly)?
*
Yes
No
Year of Birth
*
Please Select
2010 (12 Years)
2011 (11 Years)
2012 (10 Years)
2013 (9 Years)
2014 (8 Years)
Back
Next
Events
*
Rows
Yes
No
100m Open Freestyle (9-12 Years only (born 2013, 2012, 2011, 2010)) Only nominate if child can swim this distance without stopping.
15
16
25m Butterfly (8 Years only (born 2014))
17
18
25m Backstroke (8 Years only(born 2014))
19
20
25m Breaststroke (8 Years only(born 2014))
21
22
50m Butterfly (9-12 Years only (born 2013, 2012, 2011, 2010))
23
24
50m Backstroke (9-12 Years only (born 2013, 2012, 2011, 2010))
25
26
50m Breaststroke (9-12 Years only (born 2013, 2012, 2011, 2010))
27
28
Submit
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