Polar Bear – June 6, 2009 Entry/Registration Form
This form and your electronic entry file are due by Wednesday, June 3, at 6:00 PM. Payment is due by 6:30 AM the day of the meet.
Team/Coach Information
Team Name: Coach Name: Day Phone: E-mail: Evening Phone:
Entry Contact Person Information (if different from Coach)
Name: Day Phone: E-mail: Evening Phone:
Entry Information
Number of Individual Events Entered: Estimated Number of Families Represented:
(For planning purposes. Thanks for your help.)
x $3.00 =
Payment and Entry Information
The Meet Manager event file will be available at www.swimdauphin.org/polar. Payment is due by 6:30 AM the day of the meet. Your Team Manager entry file must be sent via e-mail. This form can be mailed or you can send the registration information in the body of the event file e-mail. The mailing and e-mailing addresses are: HanwellWeb@comcast.net Tracey L. Hanwell 2830 Fishing Creek Valley Road Harrisburg, PA 17112
Make checks payable to: Dauphin Swimming & Diving Association (or DSDA)