NYSWCAA Swimming and Diving Championship 2001 Declaration of Intent

1.	Name of Member School ______________________________________ (Please Check only one) WILL _________ WILL NOT _______ compete in the 2005-2006 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:

Swimming & Diving Championship Director	Executive Director
Joe Hannah Swim Coach, Le Moyne 1419 Salt Springs Road Syracuse, NY 13214 (585) 445-4452( W) (315) 445-4678(F) hannahjm@lemoyne.edu	Victoria Chun NYSWCAA 7248 Butternut Lane Hamilton, NY 13346 315-824-8911 (P) 315-824-8911 (F) vchun@nyswcaa.org

Swimming & Diving Championship-Declaration of Intent 2005-2006