Moors Withdrawal Form – Time Trials September 2025

Swimmers Name *

First

Last

Confirmation Email *

Checkboxes *

I confirm that I have communicated this withdrawal to my club/team manager
I understand that no refunds will be provided unless accompanied by a medical note
I understand that once this is completed, swimmers will not be able to be reinstated

Medical Note Upload

Click or drag a file to this area to upload.

pdf, docx, doc, jpg, png, gif file types only

Details of events to be withdrawn from *