Louisiana High School State Swim Meet

LOUISIANA HIGH SCHOOL STATE SWIM MEET
DIVISION II BOYS’ ENTRY BLANK

SCHOOL: ADDRESS:

SIGNED PRINCIPAL: SIGNED COACH:

*List Alternates on Back of Page

Place Best Official Time for Each Event Entered:

Name
(Please Print) / Grade / #2
200-M
NT / #4
200 Free
2:17.28 / #6
200 I M.
2:30.62 / #8
50 Free
25.69 / #10
100 Fly
1:09.57 / #12
100 Free
59.35 / #14
500 Free
6:20.05 / #16
200 Free Relay
NT / #18
100 Back
1:10.84 / #20
100 Breast
1:19.95 / #22
400 Free Relay
NT

Boy Swimmers Entered in Individual and Relay Events: x $15.00 = $

(Make check payable to LHSAA)

~ALTERNATES~

$15 PER ALTERNATE MUST BE INCLUDED

DIVISION II BOYS’ STATE SWIM MEET

Place Best Official Time for Each Event Entered:

Name
(Please Print) / Grade / #2
200-M
NT / #4
200 Free
2:17.28 / #6
200 IM.
2:30.62 / #8
50 Free
25.69 / #10
100 Fly
1:09.57 / #12
100 Free
59.35 / #14
500 Free
6:20.05 / #16
200 Free Relay
NT / #18
100 Back
1:10.84 / #20
100 Breast
1:19.95 / #22
400 Free Relay
NT

LOUISIANA HIGH SCHOOL STATE SWIM MEET
DIVISION II GIRLS’ ENTRY BLANK