ࡱ> TVS  bjbj .hh99 &&&bddddddYbd&"&&&d99?y...&98b.&b..q.KZBR.N0... &&.&&&&&dd.&&&&&&&&&&&&&&&& :  SURREY RECORD CLAIM FORM Name______________________________________ Address _________________________________ _________________________________ ___________________Postcode _______ Telephone number ____________________________ Date of Birth _________________________________ Club _______________________________________ Record details Distance m _________________ Event ________________ Time ______________________ Location ___________________Date of swim ___________ ASA Age Group (for Masters only) _____________________ Disability Classification _____________________ Circle as appropriate Open Men Ladies No age limit Junior Boys Girls Under 16 years on day record is made Swimmers Signature ____________________________________ Official result must be enclosed. Please see conditions for Surrey County Records in the County Handbook. Send to Jim Boucher, 9 Westward Ho, Guildford, GU1 1UU. 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