Michigan Swimming On-line Record Application
This application will be emailed directly to
JBCartmill@hughes.net
, MS' Records Coordinator,
when you hit the submit button. Please complete every relevant field in this application.
Submitter's Information
Submitter's Name:
Club Code:
Club Name:
E-Mail Address:
Phone Number:
Record Information
Meet:
(Date)
(Host)
(City)
(State)
Distance:
50
100
200
400
500
800
1000
1500
1650
2000
3000
4000
5000
Stroke:
Freestyle
Backstroke
Breaststroke
Butterfly
Medley
Course
LCM
SCY
Postal
Age Group
U-10
11-12
13-14
15-16
17-18
Open
Gender
Boys
Girls
Race Type:
Individual
Relay
Time (Mins:Secs.Hunds):
:
.
Meet Type:
USA Sanctioned Meet
USA Approved Meet
USA Observed Meet
Event Type:
Regular
Time Trial
Swim Off
Lead Off Leg
Record Setter(s) Name (if this record is for a relay, list in order each member swam):
Swimmer/Leadoff:
(First)
(MI)
(Last)
(USA #)
Relay - 2nd:
(First)
(MI)
(Last)
(USA #)
Relay - 3rd:
(First)
(MI)
(Last)
(USA #)
Relay - 4th:
(First)
(MI)
(Last)
(USA #)