WINTER FIESTA INVITATIONAL SWIM MEET JANUARY 19 & 20, 2019

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WINTER FIESTA INVITATIONAL SWIM MEET JANUARY 19 & 20, 2019 Held under sanction of Wyoming Swimming, Inc. And USA Swimming, Inc. Sanction 2019-26 This meet is dual sanctioned with Colorado Masters sanction #329-S001 In granting this sanction, it is understood and agreed that USA Swimming, Wyoming Swimming, Inc., Powell Swim Club, and Powell Aquatic Center shall be free from any liabilities or claims for damages arising by reason of injuries to anyone during the conduct of the event. Whether submitting entries electronically or on paper, by the action of entering the swimmer in this Wyoming Swimming, Inc. meet/event, the person entering the swimmer, whether a coach, club representative, parent or swimmer, certifies that the swimmer is a registered member of USA Swimming and further agrees that a penalty of $100 shall be assessed by Wyoming Swimming, Inc. to anyone entering a swimmer who is not registered with USA Swimming prior to the entry deadline. Host: Powell Swim Club Location: Powell Aquatic Center, 1065 E Coulter Ave, Homesteader Park, Powell Wyoming, (307)754-6976 Times: Saturday, 1/19 Warm-ups 10:00 a.m. Session I Official s Meeting 10:30 a.m. Coach s Meeting 11:00 a.m. Start 11:15 a.m. Sunday, 1/20 Warm-ups 8:00 a.m. Session II Official s Meeting 8:30 a.m. Coach s Meeting 9:00 a.m. Start 9:15 a.m. Powell Swim Club reserves the right to split either session into 2 sessions, by age, depending on the number of entrants. This information will be posted and emailed to the team by Thurs, January 17, 2019 to allow for team travel planning. Pool: Regulation Short Course, 25-yard, eight lane pool with non-turbulent lane markers, starting blocks, and backstroke flags. At starting end of the pool, Water depth measured at 12 feet deep at both 1 meter and 5 meters from the wall. The pool depth measured 4 feet and 4½ feet at 1 meter and 5 meters from the wall respectively, from turning end. Timing: The competition course has been certified in accordance with 104.2.2C(4). The copy of such certification is on file with USA Swimming. Colorado Timing System, with an 8-lane scoreboard and semi-automatic backup, and two manual back up timers per lane. All teams will be expected to provide timers and will be given lane assignments based on the number of swimmers their team has participating in the meet.

Admin: Meet Director: Co-Meet Director: Brandi Wright Daniel Diver 355 N. Division Powell, Wyoming 82435 551 Santa Fe Trail Powell WY 82435 307-899-2656 530-370-2002 brandisse@gmail.com daniel_diver@comcast.net Head Referee: Admin Official: Teri Oursler Brandi Wright 861 Lane 11 Powell, Wyoming 82435 355 N. Division Powell, Wyoming 82435 307-754-2324 307-899-2656 terio@vin.com brandisse@gmail.com Rules: Current USA Swimming rules will govern the meet. The head referee will be the final authority for the conduct of the competition. Any swimmer entered in the meet must be certified by a USA Swimming member-coach as being proficient in performing a racing start or must start each race from within the water. When unaccompanied by a member-coach, it is the responsibility of the swimmer or the swimmer s legal guardian to ensure compliance with this requirement. Except where venue facilities require otherwise, changing into or out of swimsuits other than in locker rooms or other designated areas is not appropriate and is prohibited. Use of audio or visual recording devices, including a cell phone, is not permitted in changing areas, rest rooms or locker rooms. Operation of a drone, or any other flying apparatus, is prohibited over the venue (pools, athlete/coach areas, spectator areas and open ceiling locker rooms) any time athletes, coaches, officials and/or spectators are present. Eligibility: No swimmer will be permitted to compete unless the swimmer is a USA Swimming member as provided in USA Swimming article 302 or registered with US Masters Swimming (USMS) prior to the entry deadline. Masters swimmers are welcome and encouraged to compete. No on-deck registrations will be accepted. Age Groups: A swimmer s age as of the first day of the meet, Saturday January 19, determines their age group. 8 & Under, 9-10, 11-12, 13-14, and 15-Over. 8 & Under is not a USA Swimming recognized age group. Scoring: Individual 13, 11, 10, 9, 8, 7, 6, 5, 4, 3, 2, 1 Relays 26, 22, 20,18,16,14,12,10,8,6,2 (only one relay per team will be scored.) Awards: Individual Events: 1-12 Ribbons / Relays 1-12. Participation: T-Shirts

Swimmers with Disabilities: Entries: Swimmers with disabilities are encouraged to attend. Contact the meet director if you need special consideration. Swimmers with disabilities must be identified at the time entries are submitted. Adaptive swimming: In accordance with USA Swimming rule 202.4.14 & Article 105 the Meet Referee has the authority to accommodate swimmers with disabilities. The Team Entry Representative must notify the Meet Referee and entry contact of accommodation requests at the time of entry submission. All events will be pre-seeded timed finals. There will be no deck entries. Each Swimmer may enter a total of twelve (12) individual events plus two (2) relays. A swimmer may compete in no more than SIX (6) individual events PER DAY. There will be no clerk of course. Please submit entry times in yards. The open 1650 freestyle event will be seeded slowest to fastest and swimmers must provide their own timers and lap counters. The open 500 freestyle event will be seeded slowest to fastest and swimmers must provide their own lap counters; timers will be asked to time this event. Any swimmer requesting an official time for the 1000 Freestyle must swim the 1650 freestyle and provide an additional timer to record the split time. There will be no exhibition swimming allowed. Entry Fees: The fees are $5.00 for each individual event and $5.00 for each relay. $7.00 for each registered swimmer (WSI participation fee), and a $10.00 facility fee per swimmer. Deadline: ENTRIES MUST BE POSTMARKED BY THURSDAY, JANUARY 10, 2019 No late entries will be accepted. Make Checks payable to: Powell Swim Club. Clubs, please pay with one club check. Mailed and emailed entries need to include participation t-shirts order form, officials attending the clinic and phone contact and email address. Mail check: Preferred method: Powell Swim Club email via HY-TEK with printable PDF hard copy PO Box 624 Brandi Wright Powell, WY 82435 307-899-2656 brandisse@gmail.com There will be no refunds unless your entries are not accepted.

Officials: Each WSI (Wyoming Swimming Inc.) club shall provide official(s) to work the meet based on the number of swimmers entered into the meet: 1-9 Swimmers No official required, 10-17 Swimmers One official, 18-25 Swimmers Two officials, 26 or more Swimmers Three officials. Each team shall provide the names of the official(s) who will be representing their team at the meet at the time their entries are submitted. When submitting their entries to the host club, each WSI club shall also provide to the host club the names of the official(s) who will be representing their club at the meet. Within 24 hours of the entry deadline each host club must email Official Chairs Wendell.Robison@va.gov and gmathes@trihydro.com the MM Athlete Roster Report by Team and the list of USA Swimming officials who will be working and what club they will be representing. Warm-ups: USA Cards: On Saturday and Sunday there will be three assigned warm-up sessions of twenty minutes each. Warm up procedures will comply with USA Swimming and Wyoming Swimming Inc. guidelines. Dive Starts will be allowed only during the last five (5) minutes of each warm up and will be one way swimming only. USA swimmers must be under the supervision of a coach at all times. A schedule of Warm-up times and Lane Assignments will be determined after the entry deadline when the number of contestants has been determined. The Warm-up Schedule will be emailed to all coaches no later than 7 days prior to the meet. There will be no warm-up/cool down pool or lane(s) available once the meet commences. All coaches and meet officials must be currently registered with USA Swimming. Cards will be checked prior to the meet. Deck Pass is a valid method of presenting your USA Swimming registration card. Concessions: Concessions will be sold in the lobby. Final Results: Teams may pick up their flash drives containing the final results at the end of the meet.

Participants T-Shirt Order Form Please include with your entries! All sizes are Adult TEAM CONTACT NAME CONTACT PHONE NUMBER OF PARTICIPANTS NUMBER OF SIZES: XSMALL: SMALL: MEDIUM: LARGE: XLARGE:

Stroke and Turn Official Clinic Offered! A Stroke and Turn Official clinic will be offered Saturday morning January 19, 2019 at 8:30 a.m., in the meeting room at the Powell Aquatic Center. Please notify anyone on your team who is interested in becoming an official or may need recertification. New Officials should already have become a Non-Athlete Member of USA Swimming, and have taken the written exam. In addition, they MUST have taken and passed the Athlete Protection Video and quiz. For any questions please contact Teri Oursler at 307-754-2324. It is very important, and our goal, for every club to have four officials! PERSONS PLANNING ON ATTENDING: NAME: CLUB: PHONE: EMAIL: 1. 2. 3. 4. Administrative Official Clinic Offered! An Administrative Official clinic will be offered during event 15 (1650 freestyle) Saturday January 19, 2019 in the meeting room at the Powell Aquatic Center. Please notify anyone on your team who is interested in becoming an Administrative Official or may need recertification. New Administrative Officials should already have become a Non-Athlete Member of USA Swimming. In addition, they MUST have taken and passed the Athlete Protection Video and quiz. For any questions please contact Brandi Wright at 307-899-2656. PERSONS PLANNING ON ATTENDING: NAME: CLUB: PHONE: EMAIL: 1. 2. 3. 4.

Winter Fiesta Powell, Wyoming January 19-20 2019 Saturday, January 19, Session I Event # Age Event 1 Mixed 8 & Under 50 Free 2 Mixed 9 & Over 100 Free 3 Mixed 12 & Under 100 IM 4 Mixed 13 & Over 200 IM 5 Mixed 8 & Under 25 Fly 6 Mixed 9-12 50 Fly 7 Mixed 13 & Over 100 Fly 8 Girls Open 200 Medley Relay 9 Boys Open 200 Medley Relay 10 Mixed 8 & Under 50 Back 11 Mixed 9-12 100 Back 12 Mixed 13 & Over 200 Back 13 Mixed 8 & Under 25 Breast 14 Mixed 9-12 50 Breast 15 Mixed 13 & Over 100 Breast 16** Mixed 11 & Over 1650 Free Sunday January 20, Session II Event # Age Event 17* Mixed 9 & Over 500 Free 18 Mixed 8 & Under 25 Free 19 Mixed 9 & Over 50 Free 20 Mixed 8 & Under 50 Fly 21 Mixed 9-12 100 Fly 22 Mixed 13 & Over 200 Fly 23 Mixed 8 & Under 25 Back 24 Mixed 9-12 50 Back 25 Mixed 13 & Over 100 Back 26 Girls Open 200 Free Relay 27 Boys Open 200 Free Relay 28 Mixed 12 & Under 200 IM 29 Mixed 13 & Over 400 IM 30 Mixed 8 & Under 50 Breast 31 Mixed 9-12 100 Breast 32 Mixed 13 & Over 200 Breast 33 Mixed 8 & Under 100 Free 34 Mixed 9 & Over 200 Free * Must provide a lap counter. ** Must provide two (2) timers and a lap counter NOTE: It is the responsibility of the coach to inform the Deck Referee if a swimmer is swimming back to back events and heats.

Master Swimmer Entry Form Master swimmers, please include full payment with this completed form, the following Release of Liability Form and a copy of your 2019 Masters Registration Card. Make checks payable to PowellSwim Club. All entries must be postmarked by Thursday, January 10, 2019. Mail entries to: PowellSwim Club P.O. Box 624 Powell, WY 82435 Swimmer's Full Name Events (max of 6 per day) Seed Times 1. 2. 3. 4. 5. 6. 7. 8. Date of Birth Masters # Phone Number Fees: Swimmer surcharge: $17.00 $5.00 per Individual Event:$ $5.00 per Relay: $ TOTAL: $

PARTICIPANT WAIVER AND RELEASE OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT For and in consideration of United States Masters Swimming, Inc. ( USMS ) allowing me, the undersigned, to participate in any USMS sanctioned or approved activity, including swimming camps, clinics, and exhibitions; learn-to-swim programs; swimming tryouts; fitness and training programs (including dryland training); swim practices and workouts (for both pool and open water); pool meets; open water competitions; local, regional, and national competitions and championships (both pool and open water); and related activities ( Event or Events ); I, for myself, and on behalf of my spouse, children, heirs and next of kin, and any legal and personal representatives, executors, administrators, successors, and assigns, hereby agree to and make the following contractual representations pursuant to this Waiver and Release of Liability, Assumption of Risk and Indemnity Agreement (the Agreement ); 1. I hereby certify and represent that (i) I am in good health and in proper physical condition to participate in the Events; and (ii) I have not been advised of any medical conditions that would impair my ability to safely participate in the Events. I agree that it is my sole responsibility to determine whether I am sufficiently fit and healthy enough to participate in the Events. 2. I acknowledge the inherent risks associated with the sport of swimming. I understand that my participation involves risks and dangers, which include, without limitation, the potential for serious bodily injury, sickness and disease, permanent disability, paralysis and death (from drowning or other causes); loss of or damage to personal property and equipment; exposure to extreme conditions and circumstances; accidents involving other participants, event staff, volunteers or spectators; contact or collision with natural or manmade objects; dangers arising from adverse weather conditions; imperfect water conditions; water and surface hazards; facility issues; equipment failure; inadequate safety measures; participants of varying skill levels; situations beyond the immediate control of the Event organizers; and other undefined, not readily foreseeable and presently unknown risks and dangers ( Risks ). I understand that these Risks may be caused in whole or in part by my own actions or inactions, the actions or inactions of others participating in the Events, or the negligent acts or omissions of the Released Parties defined below, and I hereby expressly assume all such Risks and responsibility for any damages, liabilities, losses or expenses that I incur as a result of my participation in any Events. 3. I agree to be familiar with and to abide by the Rules and Regulations established by USMS, including any safety regulations. I accept sole responsibility for my own conduct and actions while participating in the Events. 4. I hereby Release, Waive and Covenant Not to Sue, and further agree to Indemnify, Defend and Hold Harmless the following parties: USMS, its members, clubs, workout groups, event hosts, employees, and volunteers (including, but not limited to, event directors, coaches, officials, judges, timers, safety marshals, lifeguards, and support boat owners and operators); the USMS Swimming Saves Lives Foundation; USMS Local Masters Swimming Committees (LMSCs); the Event organizers and promoters, sponsors and advertisers; pool facility, lake and property owners or operators hosting the Events; law enforcement agencies and other public entities providing support for the Events; and each of their respective parent, subsidiary and affiliated companies, officers, directors, partners, shareholders, members, agents, employees, and volunteers (individually and collectively, the Released Parties ), with respect to any liability, claim(s), demand(s), cause(s) of action, damage(s), loss or expense (including court costs and reasonable attorneys fees) of any kind or nature ( Liability ) which may arise out of, result from, or relate in any way to my participation in the Events, including claims for Liability caused in whole or in part by the negligent acts or omissions of the Released Parties. 5. I further agree that if, despite this Agreement, I, or anyone on my behalf, makes a claim for Liability against any of the Released Parties, I will indemnify, defend and hold harmless each of the Released Parties from any such Liabilities which any may be incurred as the result of such claim. I hereby warrant that I am of legal age and competent to enter into this Agreement, that I have read this Agreement carefully, understand its terms and conditions, acknowledge that I will be giving up substantial legal rights by signing it (including the rights of my spouse, children, heirs and next of kin, and any legal and personal representatives, executors, administrators, successors, and assigns), acknowledge that I have signed this Agreement without any inducement, assurance, or guarantee, and intend for my signature to serve as confirmation of my complete and unconditional acceptance of the terms, conditions and provisions of this Agreement. This Agreement represents the complete understanding between the parties regarding these issues and no oral representations, statements, or inducements have been made apart from this Agreement. If any provision of this Agreement is held to be unlawful, void, or for any reason unenforceable, then that provision shall be deemed severable from this Agreement and shall not affect the validity and enforceability of any remaining provisions. Last Name First Name MI Sex (circle) Street Address, City, State, Zip M F Date of Birth (mm/dd/yy) Signature of Participant Date Signed Revised 07/01/2014