OFFICIAL ENTRY FORM
SAN ANTONIO DIVERS
All parts of this form must be properly completed before the entry is accepted.
In signing below, I verify the events in which I am entered and that I am a registered amateur athlete according to the rules and regulations of AAU; that in consideration of your accepting this entry, I, intending to be legally bound hereby for myself, my heirs, executors, and administrators, waive any and all rights that I may have against AAU, the Local Diving Committee or Association, the San Antonio Divers Parent's Club, their agents, representatives, successors, or assignees for any and all injuries to me in, on or at said meet and premises.
NAME_______________________________________ MALE_____ FEMALE_____
BIRTHDATE (Month)______________ (Day)______ (Year)______ AGE________
HOME ADDRESS ________________________________________________________________
CITY ______________________________ STATE ________________ ZIP ________________
PHONE ( ________ ) __________________________
AAU REGISTRATION NUMBER __________________________________________________
CLUB AFFILIATION ______________________________________________________________
COACH _________________________________ PHONE ____________________________
Note: A valid Registration number must appear above. Entry forms without a valid Registration number will be returned and the diver will not be entered in the meet.
I wish to be entered in the following events:
9 & Under _____ 1M springboard _____ 3M springboard ____Novice
10-11 _____1M springboard _____ 3M springboard ____Novice
12-13 _____ 1M springboard _____ 3M springboard ____Novice
14 & Up _____ 1M springboard _____ 3M springboard ____Novice
11 & Under _____1m springboard _____ 3M springboard ____FINA-JO
12-13 _____1M springboard _____ 3M springboard ____FINA-JO
14-15 _____1M springboard _____ 3M springboard ____FINA-JO
16-19 _____1M springboard _____ 3M springboard ____FINA-JO
Enclosed is a check for $ ________ as my entry fee for ________events entered at $25.00 per event FINA JO
$20.00 per event NOVICE
______ Check here if dive sheets are included with this registration.
______ Check here if dive sheets will be mailed separately.
Make check payable to SAN ANTONIO DIVERS. ENTRY DEADLINE: Postmarked by February 29th., 2008.
SEND ENTRY TO: LINDA NOLDER
15126 SUN TRAIL
SAN ANTONIO, TX. 78232