USA Swimming USA Swimming USA Swimming
Relay Take Off Judge Relay Take Off Judge Relay Take Off Judge
EVENT# ____ HEAT# ____ EVENT# ____ HEAT# ____ EVENT# ____ HEAT# ____
(Circle one: SIDE or LANE) (Circle one: SIDE or LANE) (Circle one: SIDE or LANE)
0 = GOOD X = BAD 0 = GOOD X = BAD 0 = GOOD X = BAD
Swimmer Number Swimmer Number Swimmer Number
Lane 1 2 3 4 Lane 1 2 3 4 Lane 1 2 3 4
Lane 2 2 3 4 Lane 2 2 3 4 Lane 2 2 3 4
Lane 3 2 3 4 Lane 3 2 3 4 Lane 3 2 3 4
Lane 4 2 3 4 Lane 4 2 3 4 Lane 4 2 3 4
Lane 5 2 3 4 Lane 5 2 3 4 Lane 5 2 3 4
Lane 6 2 3 4 Lane 6 2 3 4 Lane 6 2 3 4
Lane 7 2 3 4 Lane 7 2 3 4 Lane 7 2 3 4
Lane 8 2 3 4 Lane 8 2 3 4 Lane 8 2 3 4
Lane 9 2 3 4 Lane 9 2 3 4 Lane 9 2 3 4
Lane 10 2 3 4 Lane 10 2 3 4 Lane 10 2 3 4
______
Signature Signature Signature
USA Swimming USA Swimming USA Swimming
Relay Take Off Judge Relay Take Off Judge Relay Take Off Judge
EVENT# ____ HEAT# ____ EVENT# ____ HEAT# ____ EVENT# ____ HEAT# ____
(Circle one: SIDE or LANE) (Circle one: SIDE or LANE) (Circle one: SIDE or LANE)
0 = GOOD X = BAD 0 = GOOD X = BAD 0 = GOOD X = BAD
Swimmer Number Swimmer Number Swimmer Number
Lane 1 2 3 4 Lane 1 2 3 4 Lane 1 2 3 4
Lane 2 2 3 4 Lane 2 2 3 4 Lane 2 2 3 4
Lane 3 2 3 4 Lane 3 2 3 4 Lane 3 2 3 4
Lane 4 2 3 4 Lane 4 2 3 4 Lane 4 2 3 4
Lane 5 2 3 4 Lane 5 2 3 4 Lane 5 2 3 4
Lane 6 2 3 4 Lane 6 2 3 4 Lane 6 2 3 4
Lane 7 2 3 4 Lane 7 2 3 4 Lane 7 2 3 4
Lane 8 2 3 4 Lane 8 2 3 4 Lane 8 2 3 4
Lane 9 2 3 4 Lane 9 2 3 4 Lane 9 2 3 4
Lane 10 2 3 4 Lane 10 2 3 4 Lane 10 2 3 4
______
Signature Signature Signature
USA Swimming USA Swimming USA Swimming
Relay Take Off Judge Relay Take Off Judge Relay Take Off Judge
EVENT# ____ HEAT# ____ EVENT# ____ HEAT# ____ EVENT# ____ HEAT# ____
(Circle one: SIDE or LANE) (Circle one: SIDE or LANE) (Circle one: SIDE or LANE)
0 = GOOD X = BAD 0 = GOOD X = BAD 0 = GOOD X = BAD
Swimmer Number Swimmer Number Swimmer Number
Lane 1 2 3 4 Lane 1 2 3 4 Lane 1 2 3 4
Lane 2 2 3 4 Lane 2 2 3 4 Lane 2 2 3 4
Lane 3 2 3 4 Lane 3 2 3 4 Lane 3 2 3 4
Lane 4 2 3 4 Lane 4 2 3 4 Lane 4 2 3 4
Lane 5 2 3 4 Lane 5 2 3 4 Lane 5 2 3 4
Lane 6 2 3 4 Lane 6 2 3 4 Lane 6 2 3 4
Lane 7 2 3 4 Lane 7 2 3 4 Lane 7 2 3 4
Lane 8 2 3 4 Lane 8 2 3 4 Lane 8 2 3 4
Lane 9 2 3 4 Lane 9 2 3 4 Lane 9 2 3 4
Lane 10 2 3 4 Lane 10 2 3 4 Lane 10 2 3 4
______
Signature Signature Signature