Online Gala Entry Form Once Submitted this form will be sent to our Gala Entry Secretary who will add your entry to UASC submission to the relevant gala. Please ONLY use this form for events not listed on UASC Calendar.UASC CLOSING DATELast Date to Enter - You Do NOT need to Enter a Date in this field Date Format: 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 Date Format: DD slash MM slash YYYY Childs Name*Please enter your swimmers name First Last Male / Female*MaleFemaleASA Number*Please enter your Swimmers ASA NumberParents Name*Please enter your nameParents 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* Price: £ 1.00 £1 (towards coaches poolside pass) Is Included in the total belowTotal £ 0.00 Cheque No/ Cash*Please enter Cheque Number or state if paid cashConsent* 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" Please make cheques payable to UASCIf no payment is received your entry cannot be processed Please hand payment to Mandy Harris, Gala Entries Secretary or ask a member of the coaching staff or committee to pass to Caroline Huntington. Treasurer (thank you) ** Unless it’s a “First Come First Served Meet” completed entry forms and payment must be received ONE WEEK prior to the Meet Closing Date specified by the Meet Organiser **CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.