ELWOOD WYLIE ISLAND SERIES MEET

ENTRY FORM

Club ____________________________________ Phone: ___________________

Coach/Contact __________________________________ Fax: ____________________

E-Mail: ________________________________________________

ATHLETE	Date of Birth	M/F	BCA #	EVENT	PB/TIME	FEE $
ATHLETE	Date of Birth	M/F	BCA #	EVENT	PB/TIME	FEE $

Duplicate this page as required.

Please list each athlete’s events together using a separate line for each individual event.