EXCEL AQUATICS

PNY Swimmin’

2004 POLAR BEAR SWIM FEST

February 14-15, 2004

The meet will be conducted under the auspices of Southeastern Swimming, Inc. of United States Swimming,
the rules of which will apply.

Sanctioned by Southeastern Swimming, Inc. SANCTION #: 04SEPNY2-14

HOSTED BY:

PNY Seahawk Swimmin’ 401 North 57^th Avenue Pensacola, FL 32506 850-554-0625 monymony@gte.net

LOCATION: Washington Aquatic Center, 6000 College Pkwy, Pensacola, Fl

FACILITIES: 6-lane, 25 yard indoor competition pool with non-turbulent lane lines and fully automatic
Colorado electronic timing system.

RULES: 2004 USS rules will govern the conduct of the meet unless otherwise noted herein.

OFFICIALS: Meet Director: Trey Balog Referee: Michael Balog

850-455-7687

Meet Marshall: Trey Balog Starter: Ralph Roetzer

ELIGIBILITY: All participants must be USA Swimming registered athletes. Entries will not be accepted
without 2004 registration numbers. Coaches and officials must present evidence of certification as required
by Southeastern Swimming. A swimmer's age on the first day of the meet will determine his or her age for
the entire meet.

WARM UP: Southeastern Swimming Meet Safety Guidelines and Warm-up Procedures will be in
effect at this meet. The Meet Director will post and announce the warm-up assignments prior to the start
of the meet warm-up. Swimmers attending the meet without a coach must report to the Meet Director or
Referee to be assigned a coach for warm-up prior to each session.

STARTING TIMES: Warm-up Competition

Saturday AM: 7:15 AM 9:00 AM

Saturday PM: Not before 11:00 AM Not before 12:00 PM

Sunday AM: 7:15 AM 9:00 AM

Sunday PM: Not before 11:00 AM Not before 12:00 PM

ENTRIES: Teams who have HYTEK'S Meet/Team Manager should submit their entries on a 3-1/2" disk
(please send in COMMlink file format or WIN-MM format). E-mailed HYTEK entries will be accepted.
Entry forms must be completely filled out including the swimmers’ best times for yards. Please provide a
written copy of entries for verification purposes. Disks with results will be returned at the end of the meet.

DISABILITIES: Swimmers with disabilities are welcome and must complete the Information Form for
Disabled Swimmers and return it with the entries.

DEADLINE: Entry disks and/or printouts, summary/release sheets, and entry fees including surcharges
must be received by the Entries Chairman on or before Friday, February 6, 2004. Late entries will be
accepted for available lanes only until Sunday, February 15, 2004, until 1:00 PM. No new heats will
be formed at any time.

Completed entries should be mailed to: Trey Balog 401 North 57^th Avenue Pensacola, FL 32506

850-554-0625 or e-mail to monymony@gte.net

FEES: $3.00 per individual event, $8.00 per relay; $3.00 per swimmer SES surcharge.

Late fees: $4.00 per individual event, $10.00 per relay.

Please make checks payable to: ADG-PNY Inc. All entry fees are nonrefundable.

LIMITS: Swimmers are limited to 5 individual events per day, exclusive of relays. Entries will be limited
to 180 swimmers per session. The host team reserves the right to limit the number of heats in deck-seeded
events in order to run the meet in the allotted time.

MEET FORMAT: This is a timed finals meet. All events will be pre-seeded except the 500 and 1650
Freestyles, which will be deck-seeded. Swimmers must sign-in with the Clerk of Course for all deck-seeded
events. Sign-in deadlines are 0915 for 11-12 boys and 1230 for all others. If the swimmer is not checked in
with the Clerk of Course, the swimmer is legally scratched from the event. Only the swimmer or his/her coach
may sign in for deck-seeded events.

SCORING: Points for first through sixth places in individual events will be awarded as follows: 7-5-4-3-2-1.

AWARDS: Medals will be awarded for first through third place in all individual events, and ribbons will be
awarded for fourth thru sixth place in all individual events and first through third places in relay events. High
point and high point runner-up awards will be given in each age group and gender. Team awards will be given
for 1^st thru 3^rd places.

COACHES' MEETING: A coaches' meeting will be held at 08:45. No swimmers will be allowed in the pool
during this time.

MEET EVALUATIONS:

Please send any comments, suggestions, or evaluations concerning the meet to:

Ed DeBruyn

9161 Saddlebow Dr.

Brentwood, TN 37027

Southeastern Swimming

Information Form for Disabled Swimmers

Name: ____________________________________ Age: __________ Date of Birth: ____________________

Address: ________________________________________________Phone number: _____________________

Events Entered:

Event	No.	Event	No.	Event	No.	Event	No.

Type of disability (describe):___________________________________________________________________

___________________________________________________________________________________________

Extent of disability (Be specific, e.g., totally or partially blind, totally or partially deaf, loss of one or more limbs, multiple disabilities etc.): ___________________________________________________________________________________________

___________________________________________________________________________________________

The following persons will accompany the swimmer for any needed assistance:

__________________________________________ ______________________________________________

Siezures? Yes _________ No ________ Are You on Medication? Yes ________

Type of Medication

Dose

Parent or Guardian’s Name: ______________________________________ __ Phone No:________________

Parent or Guardian’s Signature: _______________________________________________________________

Athlete’s Signature: _________________________________________________________________________

Physician’s Name: _______________________________________________ Phone No.:_________________

Physician’s Address: _________________________________________________________________________

I have examined the above entrant and, in my opinion, there is no mental or physical reason why he or she should
not participate in USA Swimming competition.

Physicians Signature: ________________________________________ Date: ___________________

Waiver of Claim Form

In consideration of the acceptance of this entry and on behalf of each of the listed competitors we
____________________________________ hereby waive and release any and all claims against the
United States Government, NTTC Corry Station, NAS Pensacola, the Aquatic Development Group, Inc.,
the Pensacola Navy Youth Swim Team, Washington High School, United States Swimming, Inc. and
Southeastern Swimming, Inc. and their officers, agents and representatives for any and all injuries which
may be sustained at this meet or while in transit to and from this meet. We _____________________
expressly agree to waive claim as condition of being allowed to enter this meet. Further, we
____________________________________ affirm that all athletes entered in this meet and all coaches
are current members of United States Swimming and that all coaches are in compliance. I hereby affirm
that all of the swimmers we are entering in this meet are members in good standing of United States
Swimming. I further affirm that all coaches for this team are listed on this document and are Coach
members of United States Swimming.

Signature of coach or club official _______________________________________________________________

CLUB _____________________________________________________________________________________

Date: _________________ Title: ___________________________________

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Team Information

Team Name: ____________________________________________ Initials: ___________________

Email Address : __________________________________________

LSC: _________________________________ Coach: _______________________________________

Address:____________________________________________________________________________________

Phone: (W) __________________________________ (H) ____________________________________

Person to contact for questions on entry:___________________________________________________________

Phone: (W) __________________________________ (H)_____________________________________

Certified Officials who may wish to work:

1. ______________________________________ 2. _____________________________________

3. ______________________________________ 4. _____________________________________

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Entry Recap

Total Number of Swimmer Surcharges ______ x $3.00 = $__________

Total Number of Individual Events Entered ______ x $3.00 = $__________

Total Number of Relays Entered ______ x $8.00 = $__________

Total Amount Enclosed $__________

Order of Events

SATURDAY (2/14/04)

Check in for morning session restricted events by 0915, afternoon by 1230.

AM Session - Begins at 9:00 PM Session - not before 12:00pm

G B G B

1 2 8 & U 200 Med Relay 32 11-12 200 Med Relay

3 4 10 & U 200 Med Relay 33 34 13-14 200 Med Relay

5 11-12 200 Med Relay 35 36 SR 200 Med Relay

6 7 8 & U 25 Back 37 11-12 100 IM

8 9 10 & U 50 Back 38 39 13-14 200 IM

10 11-12 50 Back 40 41 Senior 200 IM

11 12 8 & Under 50 Free 42 11-12 50 Back

13 14 10 & U 100 Free 43 44 13-14 100 Back

15 11-12 100 Free 45 46 Senior 100 Back

16 17 8 & U 25 Breast 47 11-12 50 Breast

18 19 10 & U 50 Breast 48 49 13-14 200 Breast

20 11-12 50 Breast 50 51 Senior 200 Breast

21 22 8 & U 50 Fly 52 11-12 100 Fly

23 24 10 & U 100 Fly 53 54 13-14 100 Fly

25 11-12 100 Fly 55 56 Senior 100 Fly

26 27 8 & U 100 IM 57 11-12 100 Free

28 29 10 & U 100 IM 58 59 13-14 200 Free

30 11-12 100 IM 60 61 Senior 200 Free

Break - 10 minutes Break 10 minutes

31 11-12 500 Free* 62 11-12 500 Free* 63 64 13-14 1650 Free**

65 66 Senior 1650 Free**

SUNDAY MORNING (2/15/04)

Check in for afternoon session restricted events by 1230

AM Session - Begins at 9:00 PM Session - not before 12:00pm

G B G B

67 68 8 & U 200 Free Relay 97 11-12 200 Free Relay

69 70 10 & U 200 Free Relay 98 99 13-14 200 Fr Relay

71 11-12 200 Free Relay 100 101 SR 200 Free Relay

72 73 8 & U 25 Free 102 11-12 50 Free

74 75 10 & U 50 Free 103 104 13-14 50 Free

76 11-12 50 Free 105 106 Senior 50 Free

77 78 8 & U 50 Breast 107 11-12 100 Back

79 80 10 & U 100 Breast 108 109 13-14 200 Back

81 11-12 100 Breast 110 111 Senior 200 Back

82 83 8 & U 50 Back 112 11-12 100 Breast

84 85 10 & U 100 Back 113 114 13-14 100 Breast

86 11-12 100 Back 115 116 Senior 100 Breast

87 88 8 & U 25 Fly 117 11-12 50 Fly

89 90 10 & U 50 Fly 118 119 13-14 200 Fly

91 11-12 50 Fly 120 121 Senior 200 Fly

92 93 8 & U 100 Free 122 11-12 200 Free

94 95 10 & U 200 Free 123 124 13-14 100 Free

96 11-12 200 Free 125 126 Senior 100 Free

10 Minute Break

127 128 13-14 500 Free*

129 139 Senior 500 Free*

* These events are DECK SEEDED and will be swum fastest to slowest.

** These events will be swam together but scored separately. They are DECK SEEDED and will be swum
fastest to slowest, alternating Girls and Boys. Check in time is by 12:30pm. Those swimmers who wish to
record a 1000 split for official time during the 1650 may do so.