NAME OF SWIMMER: _____________________ GRADE: _____ TOTAL AMOUNT RAISED: _________

The Santa Monica High School Water Polo Program complements the schools
instructional program by giving young children the opportunity to express their athletic talents
in a wholesome structure that requires teamwork, self-sacrifice, dedication and hard work. The
Water Polo program has also been a source of community and school pride as our boys and
girls have competed against many of the finest teams in Southern California. Each season they
have earned a position in the Southern California Division C.I.F. Playoffs. In order to provide
our student-athletes with the proper equipment, and to cover the cost of running a quality
program, we are having our first ever swimathon on Sunday November 2 at 12:00 PM. WE
NAME PHONE
NUMBER
FLATE RATE
AMOUNT $
AMOUNT PER
LAP $
TOTAL
AMOUNT $
1


$20 $40 $60
Other:

2


$20 $40 $60
Other:

3


$20 $40 $60
Other:

4


$20 $40 $60
Other:

5


$20 $40 $60
Other:

6


$20 $40 $60
Other:

7


$20 $40 $60
Other:

8


$20 $40 $60
Other:

9


$20 $40 $60
Other:

10


$20 $40 $60
Other:

Total:$ _____
NAME OF SWIMMER: _____________________ GRADE: _____ TOTAL AMOUNT RAISED: _________
WI LL BE SWI MMI NG 1 MI LE (65 laps). ALL MONEY RAI SED I S DUE THAT DAY
(NOVEMBER 2).