Masters Record Claim - Staffordshire Amateur Swimming Association

Masters Record Claim

Personal information

* Indicates required field

Swimmer full name *

Date of birth *

Club *

Age Group *

ASA Registration Number *

Email address *

Telephone *

PB information

Date *

Location record was achieved (Pool Name) *

Length of pool *

25m 50m

Stroke *

Distance *

Time achieved *

Further information to support your PB

Web address for results *

Further information *

Submit