DISQUALIFICATION REPORT
DISQUALIFICATION REPORT
DISQUALIFICATION REPORT
EVENT # _____________ HEAT ____________ LANE ____________
EVENT # _____________ HEAT ____________ LANE ____________
EVENT # _____________ HEAT ____________ LANE ____________
SWIMMER _____________________________ TEAM ___________
SWIMMER _____________________________ TEAM ___________
SWIMMER _____________________________ TEAM ___________
BUTTERFLY
START _____ SWIM _____ TURN _____ FINISH _____
KICK: ALTERNATING (1A) ____ BREAST (1B) _____ SCISSORS (1C) ____
ARMS: NON-SIMULTANEOUS (1E) ____ UNDERWATER RECOVERY (1F) ____
TOUCH: ONE HAND (1J) ___ NOT SEPARATED (1K) ____
NON-SIMULTANEOUS (1L) ____ NO TOUCH (1M) ____
NOT TOWARD THE BREAST OFF WALL (1N) _____
HEAD DID NOT BREAK SURFACE BY 15m (1P) ____ RE-SUBMERGED (1R) ____
OTHER (1T): _______________________________________________
BACKSTROKE
START _____ SWIM _____ TURN _____ FINISH _____
NO TOUCH AT TURN (2A) # _____
PAST VERTICAL AT TURN:
DELAY INITIATING ARM PULL (2B) ____ DELAY INITIATING TURN (2C) ____
MULTIPLE STROKES (2D) ____
TOES OVER LIP OF GUTTER AFTER THE START (2E) ____
HEAD DID NOT BREAK SURFACE BY 15m (2F) ____ RE-SUBMERGED (2G) ____
NOT ON BACK OFF WALL (2H) ____
SHOULDERS PAST VERTICAL TOWARDS THE BREAST (2L) ____
OTHER (2T): _______________________________________________
BUTTERFLY
START _____ SWIM _____ TURN _____ FINISH _____
KICK: ALTERNATING (1A) ____ BREAST (1B) _____ SCISSORS (1C) ____
ARMS: NON-SIMULTANEOUS (1E) ____ UNDERWATER RECOVERY (1F) ____
TOUCH: ONE HAND (1J) ___ NOT SEPARATED (1K) ____
NON-SIMULTANEOUS (1L) ____ NO TOUCH (1M) ____
NOT TOWARD THE BREAST OFF WALL (1N) _____
HEAD DID NOT BREAK SURFACE BY 15m (1P) ____ RE-SUBMERGED (1R) ____
OTHER (1T): _______________________________________________
BACKSTROKE
START _____ SWIM _____ TURN _____ FINISH _____
NO TOUCH AT TURN (2A) # _____
PAST VERTICAL AT TURN:
DELAY INITIATING ARM PULL (2B) ____ DELAY INITIATING TURN (2C) ____
MULTIPLE STROKES (2D) ____
TOES OVER LIP OF GUTTER AFTER THE START (2E) ____
HEAD DID NOT BREAK SURFACE BY 15m (2F) ____ RE-SUBMERGED (2G) ____
NOT ON BACK OFF WALL (2H) ____
SHOULDERS PAST VERTICAL TOWARDS THE BREAST (2L) ____
OTHER (2T): _______________________________________________
BUTTERFLY
START _____ SWIM _____ TURN _____ FINISH _____
KICK: ALTERNATING (1A) ____ BREAST (1B) _____ SCISSORS (1C) ____
ARMS: NON-SIMULTANEOUS (1E) ____ UNDERWATER RECOVERY (1F) ____
TOUCH: ONE HAND (1J) ___ NOT SEPARATED (1K) ____
NON-SIMULTANEOUS (1L) ____ NO TOUCH (1M) ____
NOT TOWARD THE BREAST OFF WALL (1N) _____
HEAD DID NOT BREAK SURFACE BY 15m (1P) ____ RE-SUBMERGED (1R) ____
OTHER (1T): _______________________________________________
BACKSTROKE
START _____ SWIM _____ TURN _____ FINISH _____
NO TOUCH AT TURN (2A) # _____
PAST VERTICAL AT TURN:
DELAY INITIATING ARM PULL (2B) ____ DELAY INITIATING TURN (2C) ____
MULTIPLE STROKES (2D) ____
TOES OVER LIP OF GUTTER AFTER THE START (2E) ____
HEAD DID NOT BREAK SURFACE BY 15m (2F) ____ RE-SUBMERGED (2G) ____
NOT ON BACK OFF WALL (2H) ____
SHOULDERS PAST VERTICAL TOWARDS THE BREAST (2L) ____
OTHER (2T): _______________________________________________
BREASTROKE
START _____ SWIM _____ TURN _____ FINISH _____
KICK: ALTERNATING (3A) ____ BUTTERFLY (3B) ____ SCISSORS (3C)____
ARMS: PAST HIPLINE (3D) ____ NON-SIMULTANEOUS (3E) ____
TWO STROKES UNDER (3F) ____ NOT IN SAME HORIZONTAL PLANE (3G) _____
ELBOWS RECOVERED OVER WATER (3H) ____
TOUCH: ONE HAND (3J) ____ NOT SEPARATED (3K) ____
NON-SIMULTANEOUS (3L) ____ NO TOUCH (3M) ____
NOT TOWARD THE BREAST OFF WALL (3N) ____
CYCLE: KICK BEFORE PULL (3P) ____ HEAD NOT UP (3R) ____
DOUBLE PULLS/KICKS (3S) ____
OTHER (3T): _______________________________________________
BREASTROKE
START _____ SWIM _____ TURN _____ FINISH _____
KICK: ALTERNATING (3A) ____ BUTTERFLY (3B) ____ SCISSORS (3C)____
ARMS: PAST HIPLINE (3D) ____ NON-SIMULTANEOUS (3E) ____
TWO STROKES UNDER (3F) ____ NOT IN SAME HORIZONTAL PLANE (3G) _____
ELBOWS RECOVERED OVER WATER (3H) ____
TOUCH: ONE HAND (3J) ____ NOT SEPARATED (3K) ____
NON-SIMULTANEOUS (3L) ____ NO TOUCH (3M) ____
NOT TOWARD THE BREAST OFF WALL (3N) ____
CYCLE: KICK BEFORE PULL (3P) ____ HEAD NOT UP (3R) ____
DOUBLE PULLS/KICKS (3S) ____
OTHER (3T): _______________________________________________
BREASTROKE
START _____ SWIM _____ TURN _____ FINISH _____
KICK: ALTERNATING (3A) ____ BUTTERFLY (3B) ____ SCISSORS (3C)____
ARMS: PAST HIPLINE (3D) ____ NON-SIMULTANEOUS (3E) ____
TWO STROKES UNDER (3F) ____ NOT IN SAME HORIZONTAL PLANE (3G) _____
ELBOWS RECOVERED OVER WATER (3H) ____
TOUCH: ONE HAND (3J) ____ NOT SEPARATED (3K) ____
NON-SIMULTANEOUS (3L) ____ NO TOUCH (3M) ____
NOT TOWARD THE BREAST OFF WALL (3N) ____
CYCLE: KICK BEFORE PULL (3P) ____ HEAD NOT UP (3R) ____
DOUBLE PULLS/KICKS (3S) ____
OTHER (3T): _______________________________________________
FREESTYLE
NO TOUCH AT TURN (4A) # ____
HEAD DID NOT BREAK SURFACE BY 15m (4B) ____ RE-SUBMERGED (4C) ____
INDIVIDUAL MEDLEY
STROKE INFRACTION(S) (5A) # _________
OUT OF SEQUENCE (5B) ________
FREESTYLE
NO TOUCH AT TURN (4A) # ____
HEAD DID NOT BREAK SURFACE BY 15m (4B) ____ RE-SUBMERGED (4C) ____
INDIVIDUAL MEDLEY
STROKE INFRACTION(S) (5A) # _________
OUT OF SEQUENCE (5B) ________
FREESTYLE
NO TOUCH AT TURN (4A) # ____
HEAD DID NOT BREAK SURFACE BY 15m (4B) ____ RE-SUBMERGED (4C) ____
INDIVIDUAL MEDLEY
STROKE INFRACTION(S) (5A) # _________
OUT OF SEQUENCE (5B) ________
RELAYS
STROKE INFRACTION (6A-D) # _____ SWIMMER # _____
EARLY TAKE OFF SWIMMER (6F-H) # _____
CHANGED ORDER (6L): SWIMMER _____ STROKE _____
OTHER (6T)______________________________________________
RELAYS
STROKE INFRACTION (6A-D) # _____ SWIMMER # _____
EARLY TAKE OFF SWIMMER (6F-H) # _____
CHANGED ORDER (6L): SWIMMER _____ STROKE _____
OTHER (6T)______________________________________________
RELAYS
STROKE INFRACTION (6A-D) # _____ SWIMMER # _____
EARLY TAKE OFF SWIMMER (6F-H) # _____
CHANGED ORDER (6L): SWIMMER _____ STROKE _____
OTHER (6T)______________________________________________
MISCELLANEOUS
FALSE START (7A) _____
DECLARED FALSE START (7B) _____
DID NOT FINISH (7C) _____
DELAY OF MEET (7D) _____
OTHER (7T): _______________________________________________
MISCELLANEOUS
FALSE START (7A) _____
DECLARED FALSE START (7B) _____
DID NOT FINISH (7C) _____
DELAY OF MEET (7D) _____
OTHER (7T): _______________________________________________
MISCELLANEOUS
FALSE START (7A) _____
DECLARED FALSE START (7B) _____
DID NOT FINISH (7C) _____
DELAY OF MEET (7D) _____
OTHER (7T): _______________________________________________
JUDGE: _________________________________________________
JUDGE: _________________________________________________
JUDGE: _________________________________________________
(print name clearly)
REFEREE: _______________________________________________
(print name clearly)
REFEREE: _______________________________________________
(print name clearly)
NOTIFIED: ___________ SWIMMER
rev. (1/14)
____________ COACH
(print name clearly)
REFEREE: _______________________________________________
(print name clearly)
NOTIFIED: ___________ SWIMMER
rev. (1/14)
____________ COACH
(print name clearly)
NOTIFIED: ___________ SWIMMER
rev. (1/14)
____________ COACH