Observation Request/Payment MIAA Fall No Sectionals 11/8/2026

Observation Request and Payment for MIAA Fall North Sectionals 11/8/2025
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: MIAA Fall North Sectionals 11/8/2025

Please complete this form and submit it with a $5.00 payment per event by November 7th at 5pm.
First Name
Middle Name or initial (if none type*)
Last Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
High School
USA SWIMMING CLUB NAME
USA SWIMMING ID#
Email
example@example.com
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Swimmers are only allowed 2 individual events and two relay lead off times (or 1 individual event and three relay leadoffs). Please indicate the events for which the swimmer is entered and wants observed.
Check off the events you would like observed:
RELAY: If entire relay is made up of USA Swimmers from the same team and you want the relay entered list the relay name and all four names in order of swim:
My Products
prevnext( X )
Events to be observed
$5.00 Quantity

Total

$0.00
loading smart payment buttons...

The payment is ready! It will be completed once you submit the form.
Should be Empty:

Observation Request and Payment for MIAA Fall North Sectionals 11/8/2025