Request for Observation Non-Season Culminating Championshipmeet

USA SWIMMING

REQUEST FOR OBSERVATION –
NON-SEASON CULMINATING CHAMPIONSHIPMEET

FormA

MeetsrequiringauthorizationbytheProgram Operations Vice President or designeerequire10dayadvance application. Such meets include High School, Collegiate, Masters’ or other meets thatarenotseason-culminatingChampionshipmeets. This completedformanda copyofthe meet informationmustbesentatleast10dayspriortotheeventtotheLSCNTVofficialforreview. TheLSC officialwillsend this completed form to the Program Operations Vice President or designee for approval. The request must include a reason & explanation fortherequest.

Acceptanceofverificationrequestsfromthemeetissubjecttoproofthatconditionsatthemeetwerein conformancewiththerequiredproceduresand pertinent USA Swimming Rules and Regulations.

Name of Meet: ______Name of Facility: ______
Date(s) of Meet: ______Meet Director: ______

Name of person filing this request: ______Phone: ______

Is this meet on the regular, publishedcalendar? [ ] Yes[ ] No

Type of Meet:[ ] High School[ ] College[ ] Masters

Course:[ ]LongCourse Meters[ ] Short Course Yards[ ] Short Course Meters

Approx.numberofteamsparticipating ______Approx.numberofswimmersparticipating______

[ ]Timing systems will conform to the conditionsspecifiedin102.24 and the facility must conform to 103.13.1 & 2 – USASwimmingRules Regulations.

[ ]The number of Association officials must meettheminimumrequirementsasprovidedinArticle 102.10–USASwimmingRulesRegulations. AminimumoftwoadditionalUSASwimmingCertified stroketurnofficialsshallbeassignedasobserversforthepurposeofverifyingconformancewith USASwimmingtechnicalrules.Observersshallbepermittedaccesstothedeckand shall bepositionedateachendofthe course.Ifthemeetstrokeandturnofficialsare duallycertifiedbyUSASwimmingandarestationedat eachendof thepool,additionalobserversarenot necessary.Where the technical rules listed in Article 101 are the same as the host organization, the judgment of the organization officials shall be sufficient.

[ ]USA-S disqualifications from non-NCAA meets shall be reported to the LSC NTV Officer; USA-S disqualifications from NCAA meets shall be sent to the T & R Committee NTV representative/Program Operations designee.

[ ]Themeetreferee,orLSCdesignee,willprovideswimmersandcoacheswithinformationaboutthe observation programandtheprocedurestobeusedto requestobservation. Requests maybe submittedpriortotheswim forwhichobservationisdesired,orallswimsmaybeobserved.

[ ]Acopyofthemeetinformationisattached. NamesandphonenumbersofUSASwimmingofficials whowillserveasobserversatthismeetortheduallycertifiedofficials:

1)______2) ______

3)______4) ______

[ ]The reason & explanation for this request is attached.

This form must be submitted and accepted by theLSC NTVOfficial prior to submission to Program Operations NTV designee for approval.

Step One –Accepted by:Step Two –Approved by:

______

LSCNTVOfficialNTV Designee for Program Operations

Date: ______Date: ______