2019 Inter County Team Response Form
You have been selected for the Gloucester County Team for the Inter County Team Championships on the 7th October. The team will travel on Saturday the 6th October leaving early afternoon with coach pickups at Aztec Hotel & Spa at 13:30 and GL1 Leisure Centre at 14:15. The team will stay overnight and the warm up for the event is at 10.30am on Sunday the 7th. Warm up starts at 10.35am and the event starts at 11.30am. Approximate arrival time back on the Snday is at GL1 Leisure Centre 19:45 and Aztec Hotel & Spa 20:30.
Please fill the field in this form as completely as possible
Name*
First Name Last Name
Date of Birth*
Month Day Year
Date
Address*
Street Address
Street Address Line 2
City State / Province
Postal / Zip Code
Email*
example@example.com
Home Phone
Mobile Phone*
Availability*
I would be honoured to swim as part of a County Team Unfortunately I cannot make this meet
I have swum for the County before
Yes No
I need a County polo shirt
Yes No
My Polo Shirt size is
XS S M L XL XXL
I need a County Swim cap
Yes No
Emergency Contact
Emergency Contact Phone
Doctors Name
Doctors Address
Doctors Phone
Known Medical Conditions and Allergies
Food Allergies and Requests
CODE OF CONDUCT
The code of conduct can be found here:
Code of Conduct
All swimmers must confirm accpatance of the code of conduct below.
I have read and will comply with the code of conduct for this event*
Yes No
SWIM ENGLAND PRIVACY POLICY AND PHOTOGRAPHY CONSENT
All competitors and spectators to complete the privacy and consent form here
Consent Form
Should be Empty:

2019 Inter County Team Response Form