2026 BSG Worcester Qualifier

Observation Request and Payment for 2026 Baystate Games Qualifier 1- May 30 at Worcester Boys & Girls Club
This form is to be used by a USA Swimming athlete member wishing to have their race observed by a USA Official and entered into the SWIMS database.

MEET: 2026 Baystate Games Qualifier 1 on May 30, 2026

Please complete this form and submit it with a $5.00 payment per event by Friday May 29th at 5pm.
First Name
Middle Name or initial (if none type*)
Last Name
Date of Birth

MonthDayYear
Date
USA SWIMMING CLUB NAME
USA SWIMMING ID NUMBER (14 CHARACTERS)
Email
example@example.com
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Swimmers are allowed 6 individual events. Please indicate the events for which the swimmer is entered and wants observed.
Check off the events you would like observed:
My Products
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Events to be observed
$5.00 Quantity

Total

$0.00
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Observation Request and Payment for 2026 Baystate Games Qualifier 1- May 30 at Worcester Boys & Girls Club