Day After CIF “Deck Entered” Long Course Meet – May 15, 2016
Hosted by Rose Bowl Aquatics; Sanctioned By USAS/SCS #S16-150
ENTRY CARD (One card per swimmer- enter all events here. Limit 3)
___________________ ___
Legal FIRST Name
_____ _____ _____
Mo
Day
Year
Birthdate
____________________
MI
Legal LAST Name
___________________
Preferred Name
______________________________
Club Team (or Unattached?)
USAS# (Hint: usually 6 digit birthdate, first three letters of first name, middle initial, first four letters of last name)
Example: Corey A Johnson 12/25/95 USAS# 122595CORAJOHN
USAS# ______________________
Please mark with an “X” those events you wish to swim, and include your time.
(Note if the time is for long course meters “LCM” or short course yards “SCY” or short course meters
“SCM”. All times will be converted to LCM for seeding purposes only)
Ev
“X”
Event
1
400 Meter Freestyle
2
200 Meter Breaststroke
3
200 Meter Backstroke
4
400 Meter Individual Medley
5
50 Meter Freestyle
6
100 Meter Butterfly
15 Min Break, depending on meet flow
7
100 Meter Breaststroke
8
200 Meter Freestyle
9
100 Meter Backstroke
10
200 Meter Butterfly
11
200 Meter Individual Medley
12
100 Meter Freestyle
13
800 Meter Freestyle
12
1500 Meter Freestyle
Your time
LCM,SCY
or SCM?