CORDILLERA ADMINISTRATIVE REGION ATHLETIC ASSOCIATION (CARAA) 2023

APRIL 29, 30 and MAY 1, 2023

SWIMMING
OFFICIAL ENTRY FORM
ELEMENTARY BOYS
NO. NAME K-VIN A. SIMPODA NO. NAME JHON LYNDON ABAYA
Date of Birth: JUNE 5, 2011 Date of Birth: DECEMBER 9, 2011
1 AGE 12 6 AGE 11
SWIM: 200m Freestyle 3:54.00 SWIM: 100m Backstroke 1:58.00
100m Freestyle N/A 50m Backstroke 51.02
50m Breaststroke N/A

RELAY 4X50m Freestyle Relay RELAY 4X100 Freestyle Relay

4X50m Medley Relay 4X100 Medley Relay
2 NAME JHAYVIN P. BITAYONG 7 NAME LAURENCE G. PERMAN
Date of Birth: MARCH 26, 2012 Date of Birth: SEPTEMBER 15, 2011
AGE 11 AGE 11
SWIM: 200m Freestyle 3:57.00 SWIM:
200m Individual Medley N/A
100m Breaststroke 2:06.58

RELAY 4X100m Freestyle Relay RELAY 4X50m Freestyle Relay

4X100m Medley Relay 4X50 Medley Relay

3 NAME RYAN CARL E. BARAD 8 NAME MARK JENSOL M. PUDDAO

Date of Birth: JUNE 22, 2011 Date of Birth: OCTOBER 23, 2011
AGE 11 AGE 11
SWIM: 50m Butterfly 1:04.00 SWIM: 400m Freestyle N/A
100m Freestyle 1:41.86 50m Freestyle N/A
400m Freestyle 8:36.15
100m Butterfly 3:12.54

RELAY 4X100 Freestyle Relay RELAY 4X50m Medley Relay

4X100m Medley Relay 4X50m Freestyle Relay
4 NAME ROWIN B. PERMAN 9 NAME
Date of Birth: JANUARY 17, 2011 Date of Birth:
AGE 12 AGE
SWIM: 50m Butterfly 1:08.00 SWIM:
100m Butterfly 3:10.49

RELAY 4X100m Freestyle Relay RELAY

4X100m Medley Relay

5 NAME JHON REY D. TAYAM 10 NAME

Date of Birth: JANUARY 8, 2010 Date of Birth:
AGE 13 AGE
SWIM: 100m Backstroke 1:53.00 SWIM:
50m Breaststroke 55.45
50m Freestyle 40.86
100m Breaststroke 2:10.67
200m Individual Medley N/A

RELAY 4X50m Freestyle Relay RELAY

4X50m Medley Relay

SIGNATURE:
SUBMITTED BY:

DESIGNATION: CONTACT NUMBER:

DISTRICT/ DIVISION: NAME OF DSO:

CONTACT NUMBER:
CORDILLERA ADMINISTRATIVE REGION ATHLETIC ASSOCIATION (CARAA) 2023
APRIL 29, 30 and MAY 1, 2023

SWIMMING
OFFICIAL ENTRY FORM
ELEMENTARY GIRLS
NO. NAME MINA S. DE GUZMAN NO. NAME JAYCEL S. BALUNGDAY
Date of Birth: AUGUST 28, 2011 Date of Birth: AUGUST 25, 2011
1 AGE 11 6 AGE 11
SWIM: 200m Freestyle 5:13.21 SWIM: 50m Breaststroke 1:01.51
100m Breaststroke N/A

RELAY 4X100m Freestyle Relay RELAY 4X50m Freestyle R

4X100m Medley Relay 4X50m MR
2 NAME JULIE FLOR A. TRUMPO 7 NAME REYDELYN J. CELIS
Date of Birth: JUNE 22, 2013 Date of Birth: AUGUST 2, 2011
AGE 9 AGE 11
SWIM: 200m Freestyle 5:16.75 SWIM: 50m Breaststroke 1:08.38
100m Backstroke 2:34.96 100m Breaststroke
400m Freestyle 11:40.02

RELAY 4X50m Freestyle Relay RELAY 4X100m Freestyle Relay

4X50m Medley Relay 4X100m Medley Relay
3 NAME JENIE S. ABIAWAN 8 NAME HANNAH JANE P. MABBORANG
Date of Birth: AUGUST 13, 2011 Date of Birth: DECEMBER 9, 2011
AGE 11 AGE 11
SWIM: 50m Butterfly 1:26.13 SWIM: 100m Butterfly N/A
100m Butterfly N/A

RELAY 4X100 Freestyle Relay RELAY 4X100m Freestyle Relay

4X100m Medley Relay 4X100m Medley Relay
4 NAME SARAH MAE B. ABGAO 9 NAME
Date of Birth: JUNE 30, 2012 Date of Birth:
AGE 11 AGE
SWIM: 50m Butterfly 1:44.92 SWIM:
100m Freestyle N/A
50m Backstroke 59.70

RELAY 4X50m Freestyle Relay RELAY

4X50m Medley Relay
5 NAME JICHELLE ANNE C. PICHAY 10 NAME
Date of Birth: OCTOBER 15, 2012 Date of Birth:
AGE 10 AGE
SWIM: 100m Backstroke 2:07.51 SWIM:
200m Individual Medley N/A
100m Freestyle N/A
50m Backstroke 54.27
 RELAY 4X50m Freestyle Relay RELAY
4X50m Medley Relay

SUBMITTED BY: SIGNATURE:

DESIGNATION: CONTACT NUMBER:

DISTRICT/ DIVISION: NAME OF DSO:

CONTACT NUMBER: