Republic of the Philippines

Department of Education
QUEZON NATIONAL HIGH SCHOOL (ALCALA SPORTS COMPLEX) IBABANG IYAM LUCENA CITY
LUCENA CITY DIVISION ATHLETIC MEET 2019
SEPTEMBER 30 – OCTOBER 3, 2019
Swimming Event

ENTRY FORM
Secondary Boys
EVENT NUMBER 3 7 11 13 17 19 23 27 31 35 39 41 45 49 53 55 59 61 65 69
400 50 100 200 4X50 200 200 50 100 4X100 1500 200 100 50 4X50 400 50 200 100 4X100
NAME Free Fly BK Fly MR BR IM BR Free MR Free BK FL BK FR IM FR FR BR FR
Last Name, First Name
1
2
3
4
5
6
7
8
9
10
RELAY SEED RELAY SEED RELAY SEED RELAY SEED
TIME TIME TIME TIME

TEAM : _______________________________________________________

SUBMITTED BY : ______________________________________________ SIGNATURE : _____________________________________________

DESIGNATION : ________________________________________________ CONTACT CP #: ___________________________________________

 Republic of the Philippines
Department of Education
QUEZON NATIONAL HIGH SCHOOL (ALCALA SPORTS COMPLEX) IBABANG IYAM LUCENA CITY
LUCENA CITY DIVISION ATHLETIC MEET 2019
SEPTEMBER 30 – OCTOBER 3, 2019
Swimming Event

ENTRY FORM
Secondary GIRLS
EVENT NUMBER 4 8 12 14 18 20 24 28 32 36 40 42 46 50 54 56 60 62 66 70
400 50 100 200 4X50 200 200 50 100 4X100 800 200 100 50 4X50 400 50 200 100 4X100
NAME Free Fly BK Fly MR BR IM BR Free MR Free BK FL BK FR IM FR FR BR FR
Last Name, First Name
1
2
3
4
5
6
7
8
9
10
RELAY SEED RELAY SEED RELAY SEED RELAY SEED
TIME TIME TIME TIME

TEAM : _______________________________________________________

SUBMITTED BY : ______________________________________________ SIGNATURE : _____________________________________________

DESIGNATION : ________________________________________________ CONTACT CP #: ___________________________________________

Republic of the Philippines

Department of Education
QUEZON NATIONAL HIGH SCHOOL (ALCALA SPORTS COMPLEX) IBABANG IYAM LUCENA CITY
LUCENA CITY DIVISION ATHLETIC MEET 2019
SEPTEMBER 30 – OCTOBER 3, 2019
Swimming Event

ENTRY FORM
Elementary Boys
EVENT NUMBER 1 5 9 15 21 25 29 33 37 43 47 51 57 63 67
200 50 100 4X50 200 50 100 4X100 400 100 50 4X50 50 100 4X100
NAME Free Fly BK MR IM BR FR MR Free FL BK FR FR BR FR
Last Name, First Name
1
2
3
4
5
6
7
8
9
1
0
RELAY SEED TIME

TEAM : _______________________________________________________
SUBMITTED BY : ______________________________________________ SIGNATURE : _____________________________________________

DESIGNATION : ________________________________________________ CONTACT CP #: ___________________________________________

Republic of the Philippines

Department of Education
QUEZON NATIONAL HIGH SCHOOL (ALCALA SPORTS COMPLEX) IBABANG IYAM LUCENA CITY
LUCENA CITY DIVISION ATHLETIC MEET 2019
SEPTEMBER 30 – OCTOBER 3, 2019
Swimming Event

ENTRY FORM
Elementary Girls
EVENT NUMBER 2 6 10 16 22 26 30 34 38 44 48 52 58 64 68
200 50 100 4X50 200 50 100 4X100 400 100 50 4X50 50 100 4X100
NAME Free Fly BK MR IM BR FR MR Free FL BK FR FR BR FR
Last Name, First Name
1
2
3
4
5
6
7
8
9
10
RELAY SEED TIME

TEAM : _______________________________________________________
SUBMITTED BY : ______________________________________________ SIGNATURE : _____________________________________________

DESIGNATION : ________________________________________________ CONTACT CP #: ___________________________________________