Request Withdrawal

West Wales Regional Championships 2026

Please note: Submitting this form requests a withdrawal from entered events. All withdrawal requests are subject to review. Refunds are not guaranteed and are subject to the competition's withdrawal policy. If you have supporting documentation (e.g. a medical certificate), please attach it below.

Swimmer Information

First Name *

Last Name *

Date of Birth *

Gender *

Swimming Registration Number

Helps us identify your entry in our records.

Contact Details

Email Address *

Phone Number

Club *

Select Club

No clubs found. Enter your club name below.

Or Enter Club Name

Select from the list above, or type your club name here.

Reason for Withdrawal *

Please provide as much detail as possible to support your request.

Supporting Evidence

Optional. Upload a supporting document such as a medical certificate, letter, or photograph.

Click to upload or drag and drop

PDF, Word (DOC/DOCX), or image (JPG, PNG, GIF) · Max 10 MB