South Dakota Zone Application - 2006

Name _________________________ Age_______ Date of Birth_____________

(First, Middle Initial, Last)

USA Swimming ID#__________________________

Parent Name________________________ Club________________ ____

Home Address_______________________________________________

Home Phone___________________ E-mail______________________

Club Coach_______________________Coach Phone #_________________

List below the events you would like to swim starting with “AAA” qualifying events and then other events that are not “AAA” times.

Event Time AAA (Yes or No) Meet Time Was Achieved

1. ______________ ________ ______ ______________________

2. ______________ ________ ______ ______________________

3. ______________ ________ ______ ______________________

4. ______________ ________ ______ ______________________

5. ______________ ________ ______ ______________________

6. ______________ ________ ______ ______________________

Open Water Event – I am swimming the open water ____yes ____no

Please check below if it applies:

_______I will be practicing with team SD July 31-August 2.

_______I will need housing while in Sioux Falls.

_______I will be traveling and staying with team SD at the zone meet.

I,_______________________, of ______________________ agree that we will

(Parent/guardian) (Athlete)

compete in the 2006 Central Zone Meet if selected. The times listed above are accurate and if asked, we will provide results to prove these times. We understand that the SD coaching staff will decide entries for swimmers. We also agree to pay all fees associated with the 2006 Central Zone Meet by the last day of the SD State Championship Swim Meet.

SD Zone Team Order Information - 2006

Each swimmer will be given an aquablade swimming suit, two team t-shirts and three team caps. If you would like to order a different suit or additional items please include the cost with the application. T-shirts can be purchased for family members. Please include the fee. The Fastskin/Fastskin Kneeskin may not be available after July 20. Please check with the zone coaching staff.

Team Suits:

Female Aquablade _____ Size_____ (included in zone fee)

Male Aquablade _____ Size_____ (included in zone fee)

Female Fastskin _____ Size_____ Cost - $50.00

Female Fastskin Kneeskin _____ Size_____ Cost - $125.00

Male Fastskin _____ Size_____ Cost - $50.00

Male Fastskin Kneeskin _____ Size_____ Cost - $125.00

Team Caps:

Extra Caps @ $5.00 _____

(limit 3 extra caps)

Team T-shirt Size _____

Extra T-shirts @ $15.00

_____ _____ _____ _____

S M L XL

The team warm up and bag are an optional purchase

Warm-ups:

Adult @ $68 Pant size ______

Jacket size ______

Youth @ $61 Pant & Jacket ______

size

Team Bag: @ $34.00 ______

Zone Team Picture @ $20 ______

Additional cost: _________

SD Zone Team Fee: $175.00

Total fee: _________

Please enclose a check payable to SD Swimming for $175 plus any additional cost.