CP Order and Approval Form

Please enter Swimmers Name *

First

Last

Shallow Diving Relay Approval - Do you give approval for the coaches to assess your swimmers ability to complete a shallow dive? This is not compulsory - swimmers can start in the water if approval is not given.

Yes
No
N/A

There is a possibility of booking lanes for warm up on the Friday night. Can you please advise when you will be arriving in Kalgoorlie so we can arrange a time that suits the majority of swimmers? Cost of pool entry is $7 (adult swimmer), $5 (child swimmer), $3 (spectator).

Do you wish to order a program ($12)?

Yes
No

Saturday Lunch Order - Includes a water and a cookie

Meal Deal Option 1 - Footlong $18
Meal Deal Option 2 - 6 inch $15
Meal Deal Option 3 - Wrap $15
Meal Deal Option 3a - Gluten Free Wrap $15
Meal Deal Option 4 - Salad Bowl $15
No Lunch Required

Saturday Lunch Bread

White
Wheat

Saturday Lunch Meat

Saturday Lunch Sauce

Saturday Lunch Salad

Sunday Lunch Order - Includes a water and a cookie

Meal Deal Option 1 - Footlong $18
Meal Deal Option 2 - 6 inch $15
Meal Deal Option 3 - Wrap $15
Meal Deal Option 3a - Gluten Free Wrap $15
Meal Deal Option 4 - Salad Bowl $15
No Lunch Required

Sunday Lunch Bread

White
Wheat

Sunday Lunch Meat

Sunday Lunch Sauce

Sunday Lunch Salad

*

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