Return one copy of this form
to the Committee Chair and one copy to the Executive Director by
December 4, 2007 |
| Swimming & Diving Championship Director | Executive Director |
| Joe Hannah Swim Coach, Le Moyne 1419 Salt Springs Road Syracuse, NY 13214 (315) 445-4452( W) (315) 445-4678(F) hannahjm@lemoyne.edu |
Shannon McHale St. John Fisher College NYSWCAA 3690 East Avenue Rochester, NY 14618 585-385-5219 (P) 585-385-7308 (F) smchale@sjfc.edu |
| 1. |
Name of Member School
______________________________________
(Please Check only one) WILL _________ WILL NOT _______ compete in the 2007-2008 NYSWCAA Swimming & Diving Championship.
|
| 2. |
Our College or University would__________ would not__________ be interested in hosting future NYSWCAA Swimming & Diving Championships. |
| 3. |
Championship Packets will be mailed, faxed or e-mailed to the coach at the participating institutions. |
| 4. |
Entry Fee of $260.00 plus per diem $10/Athlete due once you are selected to participate. A $100.00 fine will be imposed for late declarations. If your school decides to withdraw from the tournament, it must be done before "Selection and Seeding" or the penalty will be loss of entry fee and eligibility for the following year's championship. Checks should be sent to Joe Hannah, Championship Director. |
| 5. | Head Coach Name ______________ Office Phone _________________ |
| 6. | Head Coach - Fax ______________________________________ |
| 7. | Head Coach - E-mail ____________________________________ |
|
ASSUMPTION OF RISK WAIVER As Athletic Director of _____________________________________, I hereby certify that our swimmers & divers, coaches, and other team personnel are covered by their own insurance plan or secondary carrier (i.e. college insurance) and therefore waive the responsibility of the NYSWCAA and the host institutions for insurance coverage. SIGNATURE OF ATHLETIC DIRECTOR
DATE: |
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lceppaglia@elmira.edu
Maintained by Shannon McHale
Copyright © 2000 by NYSWCAA.
Last Updated:
10/11/07