Gala Form Online Payments Once Submitted this form will be sent to our Gala Entry Secretary who will add your entry to UASC submission to the relevant gala. UASC CLOSING DATELast Date to Enter - You Do NOT need to Enter a Date in this field DD slash MM slash YYYY Please fill out all fields belowMeet Name*Enter Name of Gala you want to enter Meet Date*Enter Date of Gala DD slash MM slash YYYY Childs Name*Please enter your swimmers name First Last Male / Female* Male Female ASA Number*Please enter your Swimmers ASA NumberParents Name*Please enter your name Parents Email* Enter Email Confirm Email Please Enter Your Child's PBsPlease enter your child’s Personal Best (PB) time within the past 12 months next to the events you wish to enter (making sure you have the Qualifying Times first and are not faster than any Upper Time Limits if these apply). If your child has competed in a 50m (Long Course) pool as well as a 25 metre (Short Course) pool, please remember to enter the fastest time, whether this be their actual LC time, SC time or LC-SC/SC-LC converted. If you need to convert times please go to www.pullbuoy.co.uk/times, choose options as applicable and then “ASA Tables“ as the conversion method.FreestyleEnter PBs for each event you want to enter 50m Free100m Free200m Free400m Free800m Free1500m FreeBackstrokeEnter PBs for each event you want to enter50m Back100m Back200m BackBreaststrokeEnter PBs for each event you want to enter50m Breast100m Breast200m BreastButterflyEnter PBs for each event you want to enter50m Fly100m Fly200m FlyIndividual Medley (IM)Enter PBs for each event you want to enter100m IM200m IM400m IMPaymentsPrice*Please input cost per event as stated on gala T&Cs Number of Events*Please input the Number of Events you have entered abovePlease enter a number from 0 to 18.Coaches Pass & Payment Processing* Price: Payment towards coaches poolside pass Is Included in the total belowTotal £ 0.00 Consent* I Consent for UASC to process the data submitted within this application “I consent to my submitted data being collected, stored and used to enter the event above" No Credit / Debit Card Data will collected or stored by UASC through this application. all Card Services are handled by Stripe United KingdomCAPTCHACommentsThis field is for validation purposes and should be left unchanged.