CORDILLERA ADMINISTRATIVE REGION ATHLETIC ASSOCIATION (CARAA) 2023

APRIL 29, 30 and MAY 1, 2023

SWIMMING
OFFICIAL ENTRY FORM
SECONDARY GIRLS
NO. NAME FRIANNE CHELLE P. PILIG NO. NAME JEMIMAH LEI G. UDDIPA
Date of Birth: OCTOBER 01, 2006 Date of Birth: MAY 12, 2006
1 AGE 16 6 AGE 16
4 SWIM: 400m Free 7:43.23 12 SWIM: 100m Backstroke 2:07.00
14 200m Butterfly N/A 20 200m Breaststroke 4:15.63
40 800m Freestyle 16:02.08 28 50m Breaststroke 48.00
46 100m Butterfly 1:55.68 50 50m Backstroke 54.74
56 400m IM 10:33.41 66 100m Breast 1:55.74
RELAY 4x50m Free R RELAY 4x50m Free R
4x50m Medley R 4x50m Medley R
2 NAME PATTRICIA NICOLLE U. ANDRES 7 NAME JENELA B. TUCLI
Date of Birth: JUNE 30, 2007 Date of Birth: FEBRUARY 12, 2009
AGE 15 AGE 14
4 SWIM: 400m Free 08: 113.06 28 SWIM: 50m Breaststroke 49.00
14 200m Butterfly N/A 32 100m Free 1:41.00
20 200m Breaststroke 4:10.02 50 50m Back 51.79
40 800m Freestyle 15:56.34 60 50m Free 43.34
46 100m Butterfly 1:50.49 62 200m Free 3:56.78
RELAY 4x50m Free R RELAY 4x100m Free R
4x50m Medley R 4x100m MR
3 NAME JESSA MAY D. AGARPAO 8 NAME ROSEMIE B. PERMAN
Date of Birth: JULY 19, 2007 Date of Birth: MARCH 06, 2009
AGE 15 AGE 14
8 SWIM: 50m Butterfly 51.58 62 SWIM: 200mFree 4:10.60
32 100m Free 1:41.79 72 1500m Free 36:19.99
60 50m Free 43. 32
RELAY 4x100m Free R
4x100m MR
RELAY 4x100m Free R
4x100m MR
4 NAME NORALYN R. GUBSI 9 NAME
Date of Birth: JUNE 26, 2009 Date of Birth:
AGE 13 AGE
8 SWIM: 50m Butterfly 1:01.14 SWIM:
42 200m Backstroke 5:02.13
66 100m Breaststroke 2:08.28

RELAY 4x100m Free R RELAY

4x100m MR
5 NAME REJINNE K. NOE 10 NAME
Date of Birth: JANUARY 26, 2005 Date of Birth:
AGE 18 AGE
12 SWIM: 100m Backstroke1:41.00 SWIM:
24 200m IM N/A
42 200m Backstroke 4:09.97
72 1500m Free 31:40.30

RELAY 4x50m Free R RELAY

 4x50m Medley R

SUBMITTED BY: JAY ANN T. DALIG SIGNATURE:

DESIGNATION: TEACHER 1/COACH CONTACT NUMBER:

NAME OF DSO:
DISTRICT/ DIVISION:PUDTOL/APAYAO CONTACT NUMBER: