Wyoming Swimming, INC.
Application for Team Wyoming Western Zone Meet
_____ 2015 Senior Zones in Fresno, CA
_____ 2015 Age Group Zones in Maui, HI
My current status is (check one):
______I have already achieved the qualifying time for this event at a sanctioned USA Swimming Meet
or in an observed swim in compliance with USA Swimming Rule 202.5.
______I intend on achieving a qualifying time at an upcoming sanctioned USA Swimming Meet.
Name: ________________________________ USA Swimming # __________________________
Address:_______________________________ Phone:___________________________________
_____________________________________ email: ____________________________________
Event
Time Achieved
Meet and Date
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I certify that I have been an athlete member of USA Swimming and attached to either a Wyoming LSC
Club or to Wyoming Swimming, Inc. I acknowledge that I have or will participate in four (4) Wyoming
Swimming Inc. Meets, including Winter and Summer State Swimming Championships, during the swim
season beginning the 1st of September prior to the Zone Meet.
Winter Short Course Meets
Summer Long Course Meets
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Swimmer’s Signature:__________________________________________ Date: ___________________
I certify that ____________________________________ will be consistently in the pool during the 2015
summer season and will practice and compete at or near the times that qualify him/her for zones as set
forth above.
Coach’s Signature: ____________________________________________ Date: ___________________
Send Application for Team Wyoming form to Age Group Chairperson:
Kiesa Geyer
7534 Legacy Pkwy
Cheyenne, WY 82009