Manual / Late Entry Nomination
Athlete Details
First Name
*
Last Name
*
Club
*
Gender
*
Male
Female
Date of Birth
*
-
Day
-
Month
Year
Date
Age
*
As at the first day of the meet
Multi Class
*
Yes
No
Classification
*
S#, SB#, SM#
Contact Details
Contact Person
*
First Name
Last Name
Email
*
example@example.com
Phone
*
Meet
*
2025 Qld SC Preparation Meet (5-6 July)
2025 Brisbane Jnr SC Championships (19-20 July)
2025 Brisbane Snr SC Championships (26-27 July)
2025 Qld SC Championships (7-10 August)
2025 Brisbane Open Water Meet (6 September)
2025 Qld LC Preparation Meet 1 (11-12 October)
2025 Qld Open Water Championships (25 October)
2025 Qld LC Preparation Meet 2 (14-16 November)
2025 Qld Championships (13-19 December)
2026 Qld Country Championships (23-25 January)
2026 Brisbane Sprint Championships (24-25 January)
2026 Qld Sprint Championships (7-8 February)
2026 Brisbane Junior Mets (28 Feb-1 Mar)
2026 Brisbane Snr Mets (6-8 March)
2026 Qld National Prep Jess Schipper Challenge (14-15 March)
Date
-
Day
-
Month
Year
Date
Meet Name
Nomination Details
Please use the check box to indicate the events you wish to nominate for, and then complete all columns for that event. Including the Event Number (#) from the Program of Events, the entry time and where achieved.
Submit nomination details:
*
Rows
Nominate
Event #
Entry time (hh:mm:ss.00)
Entry time course
Meet where entry time achieved
50m Free
LC
SC
100m Free
LC
SC
200m Free
LC
SC
400m Free
LC
SC
800m Free
LC
SC
1500m Free
LC
SC
50m Back
LC
SC
100m Back
LC
SC
200m Back
LC
SC
50m Breast
LC
SC
100m Breast
LC
SC
200m Breast
LC
SC
50m Fly
LC
SC
100m Fly
LC
SC
200m Fly
LC
SC
100m IM
LC
SC
200m IM
LC
SC
400m IM
LC
SC
1.25km
LC
SC
2.5km
LC
SC
5km
LC
SC
7.5km
LC
SC
10km
LC
SC
Meet Fee (Cond Logic date/meet)
Qty Nominations (Sum from table)
Qty Nominations * Meet Fee
Including Stripe Fee
Payment must be made using the secure Stripe Checkout below, before nominations may be accepted.
Total Price (Inc Stripe Processing Fee)
*
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( X )
AUD
Manual/Late Nomination Fee + Stripe Processing Fee
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Submit
Should be Empty: