All-Region Team Patches
(for swimming, diving, and water polo)
You MUST finish in the top 8 in the regional meets or in the top eight in the SPC Conference meet)

All Region Team Patches are available for $10.00 each (Postage and handling included)
Please print this page and fill it out and mail it to:
Xiomara M. Lopez,   P.O. Box 2138,   Euless, TX 76039
Make Checks payable to: TISCA
Class 4A, 5A and Private School TAPPS/SPC Finals TISCA All Region Patches
(All Patches are the Same)

All Region Patch Order Form

Name ___________________________________________________

School ______________________________________________________

Address _________________________________________________

City_______________________

State_____

Zip______________
email ___________________________________________________ Phone Number _________________________________  

Class  (circle one(s))  5A            4A          Private Schools

Number of patches ordered @ $10.00 each   

_______________

Event Qualified  (circle event(s))

200 Yard Medley Relay

200 Yard Freestyle

200 Yard Individual Medley

50 Yard Freestyle

 One Meter Diving 100 Yard Butterfly

100 Yard Freestyle

500 Yard Freestyle

 200 Yard Freestyle Relay 100 Yard Backstroke

100 Yard Breaststroke

400 Yard Freestyle Relay

 Water Polo

Total amount enclosed      

___________