Open Water Source LLC
www.openwaterswimming.com
POW SANCTION APPLICATION
BASIC INFORMATION
Name of Host Club:Name of Event:Event Location: Event Date:Address: City: State: Zip Code:Length of Races (Number of Loops per Race): Race 1:Race 2:Race 3:Race 4:Race 5:Age Groups Participating: (circle all that apply) 6&U 8&U 10&U 11&12 13&14 15-18 High SchoolOpen Masters: 19-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+Name of Safety Director:Phone: ( ) - E-mail:Qualifications (Check one):Experienced Open Water Meet Director. List experience:________________________________________Experienced Open Water Safety Personnel. List experience:______________________________________Experienced Lifeguard. List experience:______________________________________________________
KEY PERSONNEL
Meet Director(s):Cell Phone: ( ) - Home Phone: ( ) - E-mail:Cell Phone: ( ) - Cell Phone: ( ) - E-mail:
PRE-RACE MEETING
(Required)
Tentative date/time of
MANDATORY
Pre-Race Safety meeting (athletes must attend to participate in race):