Bard College at Simon’s Rock
Pace/Makers Winter Invitational
Name ______Middle Initial ______Sex ______
Address ______City ______State ______
Age _____ Birth Date(Day,Month,Year) ______Phone ______E-mail ______
Club Name or Unattached ______USMS Reg.# ______
Emergency (Name, Phone) ______
Sunday, January 23, 2011 1:00 PM - 5:00 PM
Event No. / Entry Time (Women) / Time / Event / Event No. / Entry Time (Men) / Time2 / 200 Medley Relay / 1
4 / 200 Freestyle / 3
6 / 100 Individual Medley / 5
8 / 50 Butterfly / 7
10 / 100 Freestyle / 9
12 / 50 Breaststroke / 11
14 / 100 Backstroke / 13
16 / 50 Freestyle / 15
18 / 500 Freestyle / 17
20 / 50 Backstroke / 19
22 / 100 Butterfly / 21
24 / 100 Breaststroke / 23
26 / 200 Freestyle Relay / 25
NOTE:
The swimming pool is an eight lane 25 yard pool with Daktronics electronic timing system. Parking available on campus near the pool. All age groups will be in 5 year increments: (19-24; 25-29; 30-34; 35-39; 40-44; 45-49; 50-54 Etc., Etc.)
You must check in one hour before the start of the meet. No deck entries. Send all mail entries to: Bill Meier, Aquatic Director; Kilpatrick
Athletic Center, Bard College at Simon’s Rock, Great Barrington, MA 01230. FAX entries may be sent to: 413-528-7429. All entries must be received by 5:00 P.M., Wednesday, January 19, 2011.
FEES:
You may enter a maximum of three events and two relays: Meet Surcharge (Required): $ 10...... $ 10
Number of Individual Events:...... ____ x $ 4 = $ ______
Relays: $ 8/relay ($2/person): Name ______Age ____
(Club Name: Name ______Age ____
______) Name ______Age ____
Name ______Age ____ x $ 12 = $ ______
Total Fee Enclosed: ...... $ ______
(Make all checks payable to: Kilpatrick Athletic Center)
Liability Release:
“I, the undersigned participant, intending to be legally bound, hereby certify that I am physically fit and have not been otherwise informed by a physician. I acknowledge that I am aware of all the risks inherent in Masters Swimming (training and competition), including possible permanent disability or death, and agree to assume all those risks. AS A CONDITION OF MY PARTICIPATION IN THE MASTERS SWIMMING PROGRAM OR ANY ACTIVITIES INCIDENT THERETO, I HEREBY WAIVE ANY AND ALL RIGHTS TO CLAIMS FOR LOSS OR DAMAGES, INCLUDING ALL CLAIMS FOR LOSS OR DAMAGES CAUSED BY THE NEGLIGENCE, ACTIVE OR PASSIVE, OF THE FOLLOWING: UNITED STATES MASTERS SWIMMING, INC., THE LOCAL MASTERS SWIMMING COMMITTEES, THE CLUBS, HOST FACILITIES (SIMON’S ROCK COLLEGE OF BARD AND ANY EMPLOYEES OF THE COLLEGE) MEET SPONSOR,. MEET COMMITTEES OR ANY INDIVIDUALS OFFICIATING AT THE MEET OR SUPERVISING SUCH ACTIVITIES. In addition, I agree to abide by and be governed by the rules of USMS.”
Signature ______Date ______
Bard College at Simon’s Rock
Pace/Makers Fall Invitational
Sunday, January 23, 2011 1:00 PM - 5:00 PM
Host: Simon’s Rock Pace/Makers
Location: Kilpatrick Athletic Center, Bard College at Simon’s Rock; Great Barrington, MA
Short Course 25 Yard Pool, 8 Lanes.
Directions: From Mass. Pike - get off Lee Exit 3, turn left at light and then right onto Rt. 102 and go approx. 5 miles to Stockbridge, left turn onto Route 7. The Red Lion Inn is on your left. Go approximately 7 miles through Great Barrington. At the third light, make a right on Taconic Ave. Go approximately 2 miles to the college main entrance on the right. The Athletic Center is the first building on your left as you enter the campus, left turn to parking area.
Time: Warm-up at 12:00 P.M., Meet starts at 1:00 P.M.
Meet Director: Bill Meier 413-528-7776;
Eligibility: Open to all US & Canadian Masters Swimmers, 19 years & older, as of January 23, 2011. Include a copy of your USMS registration card. If you need to register, please contact Tracy Grilli 800-550-7946. The age of the swimmer is his or her age on January 23, 2011. A swimmer may enter up to three individual events and two relays. Entries must be received by Wednesday, January 19, 2011. USMS Technical Rules will be in effect.
Events: All events will be swum as pre-seeded, timed finals (slowest to fastest).
Warm-up: Because of potential injuries occurring across the country during warm-ups, USMS and New England Masters do not allow diving into the pool during the warm-up period except in the designated sprint lanes. You must cooperate with this requirement. Warm-ups will be 12:00- 12:55 PM. Depending on registration, we will try to have one lane available
throughout the meet for warm-up, with no diving allowed.
Timing, Etc.: A Daktronic Automatic system will be used. The host team will provide backup timers. Times will be submitted for NEM and USMS Top Ten records.
Services: A meet program will be available for each participant. No food or drink is to be consumed on the pool deck. No glass containers of any kind may be brought into the pool or lockers room areas.
Entry Fees: The entry fee is $4/per event, $12/per relay plus a $10 surcharge per individual participant. NO DECK ENTRIES. Make your check payable to: “Kilpatrick Athletic Center”. Mail signed waiver, entry form, a copy of your USMS card, and a check to be received by Wed.,
Jan. 19, 2010 to: Bill Meier, Aquatics Director, Simon’s Rock Kilpatrick Center, 84 Alford Road, Great Barrington, MA 01230.