DELEGATION INFORMATION
Delegation *
Head Coach *
Email Address
Cell Phone # being
used that day
# of athletes in
total for delegation *
# of coaches
(keeping with the 3:1 athlete:coach
ratio) *
List
of coaches *
Athletes
with medical/allergy concerns (name and
concern)
ATHLETE INFORMATION (if you
have more then 8 athletes, please submit
your first 8, then open this page again and complete the form again
with your remaining athletes and press submit)
Athlete 1
Birthdate
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Gender
M
F
1
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
2
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
3
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
4
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
Relay
4 x 25m team A
4 x 25m team B
4 x 25m team C
4 x 50 medley team A
4 x 50 medley team B
Athlete 2
Birthdate
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Gender
M
F
1
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
2
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
3
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
4
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
Relay
4 x 25m team A
4 x 25m team B
4 x 25m team C
4 x 50 medley team A
4 x 50 medley team B
Athlete 3
Birthdate
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Gender
M
F
1
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
2
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
3
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
4
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
Relay
4 x 25m team A
4 x 25m team B
4 x 25m team C
4 x 50 medley team A
4 x 50 medley team B
Athlete 4
Birthdate
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Gender
M
F
1
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
2
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
3
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
4
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
Relay
4 x 25m team A
4 x 25m team B
4 x 25m team C
4 x 50 medley team A
4 x 50 medley team B
Athlete 5
Birthdate
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Gender
M
F
1
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
2
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
3
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
4
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
Relay
4 x 25m team A
4 x 25m team B
4 x 25m team C
4 x 50 medley team A
4 x 50 medley team B
Athlete 6
Birthdate
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Gender
M
F
1
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
2
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
3
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
4
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
Relay
4 x 25m team A
4 x 25m team B
4 x 25m team C
4 x 50 medley team A
4 x 50 medley team B
Athlete 7
Birthdate
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Gender
M
F
1
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
2
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
3
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
4
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
Relay
4 x 25m team A
4 x 25m team B
4 x 25m team C
4 x 50 medley team A
4 x 50 medley team B
Athlete 8
Birthdate
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Gender
M
F
1
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
2
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
3
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
4
25 Back
25 Free
25 Breast
25 Fly
50 Back
50 Free
50 Breast
50 Fly
100 Back
100 Free
100 Breast
100 Fly
100 IM Combo
200 Free
200 Back
200 IM Combo
400 Free
400 Back
Time
Relay
4 x 25m team A
4 x 25m team B
4 x 25m team C
4 x 50 medley team A
4 x 50 medley team B