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San Diego-Imperial Meet Entry Form



HEARTLAND SWIM ASSOCIATION MASTERS SHORT COURSE METERS MEET

SUNDAY JUNE 12, 2005, ** SANCTION 445-MS-04S ** Start Time 8:15 AM

El Cajon Valley High School, 1035 E. Madison Ave, El Cajon CA


SUNDAY JUNE 12, 2005 (8:15am start) * ENTRIES DUE JUNE 4
* SANCTION #445-MS-04S
@ El Cajon Valley High School, 1035 E. Madison Ave, El Cajon CA

ATTACH LEGIBLE USMS or Foreign Equivalent CARD COPY HERE  -->  
NAME:______________________________________ E-mail:______________
ADDRESS:_________________________________________________________
PHONE #: Day(_____)________________ Eve(_____)___________________
2005 USMS/Foreign Equiv.:___________________________ SEX: _______
BIRTHDATE:_____________ AGE:______* Age as of 12-31-05 (year end)
CLUB (or UNAT):__________________________________________________

ENTRIES MUST BE RECEIVED BY: JUNE 4, 2005 (Saturday)

ENTRY FEE: $ 10.00 Flat Fee payable to "Heartland Masters Aquatics
Boosters, Inc" (entry fee not refundable)

MAIL Entry, legible USMS or Foreign Card Copy (MANDATORY), & Fee
to:   BECKY JACKMAN,  5870 SARAH AVENUE,  LA MESA  CA  91942

You do not need to submit individual event timecards.  Timecards
will be printed by the meet management program.

Warm Up: 7:15 am; RELAY Entries due by 7:45am: Meet Start: 8:15 am
WRITE entry time next to each EVENT entered* Don't enter "NO TIME"*
               * Limit 5 Individual Events 
1. ____________ 800 m Free
2. ____________ 100 m Free
3-5. Deck Enter__200 m Medley Relay (#3 Men, #4 Women, #5 Mixed)
6-8. Deck Enter__400 m Medley Relay (#6 Men, #7 Women, #8 Mixed)
     BREAK
9. ____________ 100 m Individual Medley
10.____________  50 m Backstroke
11.____________  50 m Breaststroke
12.____________ 100 m Butterfly
13-15.Deck Enter_200 m Free Relay (#13 Men, #14 Women, #15 Mixed)
16-18.Deck Enter_400 m Free Relay (#16 Men, #17 Women, #18 Mixed)
     BREAK
19.____________  50 m Freestyle
20.____________ 100 m Backstroke
21.____________  50 m Butterfly
22.____________ 100 m Breaststroke
23.____________ 200 m Individual Medley
24-26.Deck Enter_800 m Free Relay (#24 Men, #25 Women, #26 Mixed)
     Post Meet PICNIC & SI LMSC MEETING

SIGN THIS LIABILITY RELEASE: 
"I, the undersigned participant, intending to be legally bound,
hereby certify that I am physically fit and have not been otherwise
informed by a physician. I acknowledge that I am aware of all the
risks inherent in Masters Swimming (training and competition),
including possible permanent disability or death, and agree to
assume all of those risks. AS A CONDITION OF MY PARTICIPATION IN
THE MASTERS SWIMMING PROGRAM OR ANY ACTIVITIES INCIDENT THERETO, I
HEREBY WAIVE ANY AND ALL RIGHTS TO CLAIMS FOR LOSS OR DAMAGES,
INCLUDING ALL CLAIMS FOR LOSS OR DAMAGES CAUSED BY THE NEGLIGENCE,
ACTIVE OR PASSIVE, OF THE FOLLOWING: UNITED STATES MASTERS
SWIMMING, INC., THE SAN DIEGO-IMPERIAL LOCAL MASTERS SWIMMING
COMMITTEE, THE CLUBS, HOST FACILITIES, MEET SPONSORS, MEET
COMMITTEES, OR ANY INDIVIDUALS OFFICIATING AT THE MEETS OR
SUPERVISING SUCH ACTIVITIES. In addition, I agree to abide by and
be governed by the rules of USMS."

SIGN ____________________________________________DATE______________

----------RETURN ENTIRE ABOVE ENTRY FORM PORTION------------------
******************************************************************

HEARTLAND SWIM ASSOCIATION MASTERS SHORT COURSE METERS MEET
SUNDAY JUNE 12, 2005 *  * SANCTION #445-MS-04S
@ El Cajon Valley High School, 1035 E.Madison Ave, El Cajon CA

DATE:   JUNE 12, 2005, SUNDAY;  7:15 AM WARM UP;  8:15 AM START 

ENTRIES DUE: JUNE 4, 2005, (RECEIVED):  Entry will NOT be accepted
without CURRENT USMS or Foreign Equivalent Card Copy & ENTRY FEE. 
The Liability Release must be signed. 

POT-LUCK PICNIC: Please bring A-L Salad and M-Z Dessert
     MAIN DISH & BEVERAGES WILL BE PROVIDED

POST MEET:  San Diego-Imperial LMSC Meeting

SANCTIONED BY: San Diego-Imperial Local Masters Swim Committee for
U.S. Masters Swimming, Inc., SANCTION number:  445-MS-04S

SPONSORED BY:  Heartland Swim Association Masters (HSAM)

INFORMATION: Becky Jackman 619/589-2254 hm, 619/667-1495 wk; 
Mac Hall 619/778-2774

ENTRY FEE: $ 10.00 Flat Fee payable to "Heartland Masters Aquatics
Boosters, Inc" (entry fee not refundable).

DO NOT submit individual event timecards: They will be printed by
the meet management program.
TIMING: There is a possibility that electronic timing will be
provided if the system is available.

MAIL ENTRY FEE, LEGIBLE COPY OF USMS or Foreign Card (MANDATORY),
& ENTRY FORM TO:
   BECKY JACKMAN,  5870 SARAH AVENUE,  LA MESA  CA  91942

ELIGIBILITY: All persons holding a 2005 United States Masters
Swimming (USMS) Registration Card or Foreign Equivalent may
participate.  All participants, including relay only swimmers, must
sign the Liability release and submit a registration card copy and
completed entry form.  USMS Registration is available from the All
Sports Office, 1511 Morena Blvd, San Diego 92110 (619/275-1292).  

INDIV. AGE GROUPS: 18-24, 25-29, 30-34, 35-39, ... 5-yr increments.

RELAYS: Day-of-meet-entered by 7:45am.  All 4 Swimmers on each
relay must belong to the same USMS-chartered club and be entered in
the meet (completed entry form with signed liability release and
copy of USMS card attached).  Unattached swimmers cannot swim
relays.  Relays must be composed of either 4 men, 4 women, or 2
men+2 Women (mixed).  Meters Relay Age Groups (cumulative age of
relay members): 
72-99, 100-119, 120-159, 160-199, 200-239, 240-279, ... .

USMS RULES:  USMS Rules govern the meet.  Officials are certified. 
Failure to act in a sportsman-like or safe manner or to cooperate
with the officials can result in disqualification from the meet. 
Events are seeded strictly by time from slow to fast with ages and
sexes mixed.  Enter short course meters entry times (estimate by
adding 10% to your yards time); do not enter "no time."  

POOL LOCATION: El Cajon Valley High School, 1035 E. Madison Ave, El
Cajon, CA
POOL: heated, outdoor, 8 lane pool, certified length
 
DIRECTIONS: Take I-8 east to Mollison exit; exit right/south onto
Mollison, turn left onto Madison.  El Cajon Valley High School
(1035 E.Madison Av, El Cajon) is on your right.

SI LMSC: masters(AT)simasterswim(DOT)org.
Please feel free to send your comments or questions.
Copyright (c) 2005 nsk
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