The Stateline Aquatic Team 2017 IMR - IMX Challenge Saturday & Sunday, June 24 & 25, 2017

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Approval Number: WI2017 240A The Stateline Aquatic Team Saturday & Sunday, June 24 & 25, 2017 Sponsored by: THE STATELINE AQUATIC TEAM Date: June 24 th & 25 th, 2017 Location: Start Time: Beloit Memorial High School 1225 Fourth Street Beloit, WI 53511 AM Warm-ups at 7:30 am Meet begins at 8:35 am PM Warm-ups to start at conclusion of AM Session. PM Meet will start 1 hour after the start of warm-ups. The Stateline Aquatic Team reserves the right to change the meet to a single session if the number of swimmers entered either or both days warrants such a change. Pool: New in 2013-8 lane, 25 yard flush deck, non-turbulent lane markers and backstroke flags with 30 inch starting blocks. The pool is 12 5 deep at the starting end and 4 feet at turn end. The Competition Course has not been certified in accordance with USA Swimming s Rule 104.2.2C(4). Timing: Head Official: Admin Official: Official Rules: Colorado timing system with back-up watches. Ken Roth - got2swim@live.com John Carabelli jcarabelli@swimstateline.com All current USA and WI Swimming Rules and Regulations apply. All USA and WI Swimming Safety Rules will be strictly enforced. Swimmers are not required to be USA Registered. Swimmer's age is as of June 24, 2017. Warm-up: The procedure for warm-ups will be the first 35 minutes as a circle swim in lanes 1-8. The last 25 minutes will be sprints in lanes 3, 4, 5, 6 and 7 and circle swim in lanes 1, 2 and 8. Meet Management may assign warm-up times depending on number of entries. Swimmers must enter the pool from the starting end feet first using a three point entry for warm-up. Violators of the Wisconsin Swimming warm-up procedures are subject to disqualifications. Meet Director: John Carabelli/Stateline Aquatic Team P.O. Box 1083 (815) 389-9887 jcarabelli@swimstateline.com Entry Chair: Entry Limit: John Carabelli/Stateline Aquatic Team P.O. Box 1083 (815) 389-9887 jcarabelli@swimstateline.com 5 per day plus relay. Swimmers may swim in fewer events if desired. Deck seeding will be allowed in empty lanes only. Page 1 of 5

Entry Deadline: The Entry Chair must receive completed entry form, waiver, and fees no later than Thursday, June 15, 2017. No phone entries will be accepted. This meet will be run with Hy-Tek software. Teams wishing to submit their entries via disk or e-mail are encouraged to do so. No seed times will be changed once the entry chair has seeded the meet. 13 & 14 and OPEN events will be combined but will still be awarded separately. THIS MEET IS OPEN TO USA AND NON-USA MEMBERS. USA ID NUMBERS ARE ENTERED IN THE MEET ONLY FOR THOSE SWIMMERS WHO ARE USA MEMBERS. ONLY USA MEMBERS TIMES WILL BE ENTERED INTO THE SWIMS DATABASE. Fees: Entry fees are $4.00 for individual events and $12.00 for relays plus $3.00 splash fee. Entry fees must accompany entry forms and waiver. Make checks payable to: The Stateline Aquatic Team. Fees are non-refundable. Disabled Swimmers: Final Results: If you have swimmers with special needs, please notify the Meet Director no later than Wednesday, June 21, 2017. One copy of the final results will be sent to each team represented. Awards: Awards for High Point will be based on scores from all 10 events. Swimmers must swim at least 8 of the 10 individual events to qualify for the Hign Point Awards. High Point Awards with be presented at the end of the relays on Sunday to top 6 in each age group 8 & U, 9-10, 11-12, 13-14 and 15 & O. USA Swimming Power Points will be used for High Point Awards. Ribbons will be awarded for individual events to first through eighth place and first through third for relays. Admissions: Spectators over 13 years are $3.00. Heat sheets are $3.00. Concessions: Conduct: Food and Beverages will be available. Each team is responsible for the conduct of its swimmers. Any swimmer entered in the meet, unaccompanied by a USA Swimming member coach, 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. 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. Video Use: Timers: Use of cell phones or any other device that has video recording capabilities is NOT PERMITTED in the locker room or bathroom areas. STAT may require teams to provide timers based on number of entries and need. In the event timers are required they will not be charged admission for the sessions they time at. Page 2 of 5

The Stateline Aquatic Team Events Schedule - Saturday Session I Saturday AM 7:30 am Warm Up Session II Saturday PM Warm ups to begin immediately at the conclusion of the morning session Girls Event Boys Girls Event Boys 1 9-10 200 IM 2 22 13 & over 400 IM 23 3 11-12 200 IM 4 24 8 and Under 200 IM 25 5 9-10 100 Back 6 26 13 & 200 Back 27 7 11-12 100 Back 8 28 8 and Under 100 Back 29 9 9-10 50 Breast 10 30 13 & Over 100 Breast 31 11 11-12 50 Breast 12 32 8 and Under 50 Breast 33 * Optional 5 minute Break * Optional 5 minute Break 13 9-10 100 Fly 14 34 13 & over 200 Fly 35 15 11-12 100 Fly 16 36 8 and Under 100 Fly 37 17 9-10 100 Free 18 38 13 & Over 200 Free 39 19 11-12 200 Free 20 40 8 and Under 100 Free 41 * Optional 10 minute Break * Optional 10 minute Break 21 12 & U Mixed 400 Medley Relay 21 42 8 & U 200 Medley Relay 42 43 13 & Over 400 Medley Relay 43 Page 3 of 5

The Stateline Aquatic Team Events Schedule - Sunday Session III Sunday AM 7:30 am Warm Up Session IV Sunday PM Warm ups to begin immediately at the conclusion of the morning session Girls Event Boys Girls Event Boys 44 9-10 100 IM 45 65 13& Over 200 IM 66 46 11-12 100 IM 47 67 8 & Under 100 IM 68 48 9-10 50 Back 49 69 13 & Over 100 Back 70 50 11-12 50 Back 51 71 8 & Under 50 Back 72 52 9-10 100 Breast 53 73 13 & over 200 Breast 74 54 11-12 100 Breast 55 75 8 & Under 100 Breast 76 56 9-10 50 Fly 57 77 13 & over 100 Fly 78 58 11-12 50 Fly 59 79 8 & Under 50 Fly 80 60 9-10 200 Free 61 81 13 & Over 500 Free 82 62 11-12 500 Free 63 83 8 & Under 200 Free 84 64 Mixed 12 & U 200 Free Relay 64 85 Mixed 8U 100 Free Relay 85 86 Mixed 13 & O 200 Free Relay 86 Page 4 of 5

WAIVER 2017 STAT IMR IMX Challenge In the consideration of the acceptance of this entry, I/we hereby, for myself, ourselves, my/our heirs, administrator, and assigns, waive and release any and all claims against USA Swimming, the Wisconsin Association of USA Swimming, Beloit College,Beloit Memorial High School, the School District of Beloit, the Beloit Aquatic Team, Inc., The Stateline Aquatic Team, and their staffs for the injuries and/or expenses incurred by me/us at the meet, or while on the road to and from the meet. I/we are bonafide amateur athletes and in good standing with Wisconsin Swimming, Inc. and eligible to compete in all events I/we have entered. I/We also understand that our club will be responsible financially for any damage done to the facility by our athletes during the meet. I/We also are aware that it is our responsibility to ensure that every athlete and coach participating in the meet are registered USA Swimming members. I/We will be responsible for making our athletes/parents/coaches/club administrators aware of the waiver requirements in participation in this event. Signature of Club Official, Parent, Etc._Date Name of Person Signing Title Club Name Abbreviation Official Team Coach Team Representative(s) at meet Person to who questions about this entry may be made Phone# Name, Address and Email Address for the Final Results (please include zip code) RECAP OF ENTRIES # of Individual Events @ $4.00 # of relays @ $12.00 # of Swimmers @ $3.00 Splash Fee SUB - TOTAL FEE AMOUNT PAID WITH RESERVATION SUB-TOTAL LESS RESERVATIONS Mail Entries to: The Stateline Aquatic Team Attn: John Carabelli PO Box 1083 E-Mail: jcarabelli@swimstateline.com Page 5 of 5