Summer Games Registration - Swimming
Registration Information
Name of Person Completing this Form
Email address
Area Housing Preference
Individual Aquatics Registrations
Athlete Eligibility ID
*case-sensitive
Athlete Name
Event
Please select...
F1 25YD Flotation (Pool Depth: 7 1/2 FT)
F2 25YD Assisted Swim (Pool Depth: 7 1/2 FT)
F3 800YD Freestyle
F4 25YD Backstroke
F5 25YD Breaststroke
F6 200YD Choice Backstroke
F6 200YD Choice Breaststroke
F6 200YD Choice Butterfly
F6 200YD Choice IM
F7 25YD Freestyle
F8 25YD Butterfly
F9 15YD Walk
F10 15YD Assisted Swim
F11 15YD Flotation
F12 15YD Kickboard
F13 15YD Unassisted Swim
F14 25YD Kickboard
S1 400YD Freestyle
S2 100YD Backstroke
S3 100YD Individual Medley
S4 200YD Freestyle
S5 50YD Butterfly
S6 100YD Breaststroke
S7 50YD Freestyle
S8 100YD Butterfly
S9 50YD Breaststroke
S10 100YD Freestyle
S11 50YD Backstroke
Qualifying Time
Additional Disabilities/ Dietary Restrictions
Uses Wheelchair?
Yes
No
Alternate?
No
Yes
Roll-in Shower Needed?
No
Yes
Room Type Request
Single
Double
Name of Requested Roomate
Chaperones/ Coaches (1 for every 3 Athletes)
Chaperone/ Coach Name
Role
Please select...
Chaperone
Coach
Cell Phone
Email
Alternate?
No
Yes
Room Type Request
Single
Double
Name of Requested Roomate
Contact Information