Club:*

Club Code*

Contact:*

Email:*

Phone (use dashes xxx-xxx-xxxx):

Date Meet Begins:

Date Meet Ends:

Type of Meet: Select One Age Group Qualifier Senior Qualifier Invitational 1650/1500 Freestyle 1000/800 Freestyle Distance Meet 8/U Meet 9/U Meet 10/U Meet 12/U Meet Pentathlon Quadrathon Freestyle Other

Course: SCY SCM LCM SCM and LCM

Time Trials: Yes No

Format: Timed Finals Trials and Finals

Age Groups: Traditional Senior 12/U 13/O 12/U and 13/O Odd Age

Closed or Open? Closed- for CSI clubs only Open- for any USA-S club

Qualifying Times: Yes No

If applicable, what time standards?

Awards: Yes No

Splash Fees:

Name of Pool:

Location of Pool:

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