Meet information - USA Swimming

Team Name:
Team Code:
Coach:
2013 USA SWIMMING/SPEEDO CHAMPIONS SERIES
WESTERN REGION SECTION CHAMPIONSHIP
RELAY FORM
LSC Code:
Home Phone:
Coach’s USA ID#:
E-Mail Address:
Office Phone:
Cell Phone:
Enter the time only for each relay team in the appropriate place below. Swimmer names will be
required on the relay entry forms provided at the meet. If entering with a SCY or SCM time, please
indicate by placing a SCY after a yard time and SCM after a short course meter time.
Event # Event Team A Team B
3 Women’s 800 Freestyle Relay
4 Men’s 800 Freestyle Relay
13 Women’s 200 Medley Relay
14 Men’s 200 Medley Relay
19 Women’s 200 Freestyle Relay
20 Men’s 200 Freestyle Relay
29 Women’s 400 Freestyle Relay
30 Men’s 400 Freestyle Relay
37 Women’s 400 Medley Relay
38 Men’s 400 Medley Relay
Total number of relay teams entered above: ___________ x $20.00 = __________________________
(Insert this total on the Team Information Sheet)
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