Application for observation

Application for Meet Observation
Your Information
Full Name*

First NameLast Name
Title or Position*
Team/Club*
Evening Phone*
E-mail*
Where approval or observation should be returned
Club President or Contact*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Meet Information
Is this a championship meet?*
Is this meet open to all or closed to select teams?*
Name of Meet*
Name of Pool or Facility*
City and State*
Start Date*

MonthDayYear
End Date*

MonthDayYear
Meet Referee*

First NameLast Name
Administrative Official*

First NameLast Name
Meet Director*

First NameLast Name
Additional Comments
Attach Meet Information*
By submitting this form, I am applying on behalf of my swim club/organization for observation to hold swimming competitions at the pool listed above and on the dates shown.

Officials for this meet shall be qualified persons as certified by USA Swimming, Inc., and the meet referee, who has agreed to serve, must be shown on the "Meet Announcement" sheet.
Should be Empty:

Application for Meet Observation