POW SANCTION APPLICATION

BASIC INFORMATION

Name of Host Club: Name of Event: Event Location: Address: 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 School Event Date: City: State: Zip Code:

Open 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: Cell Phone: ( ( ) ) Home Phone: ( Cell Phone: ( ) ) E-mail: E-mail:

PRE-RACE MEETING (Required)

Tentative date/time of MANDATORY Pre-Race Safety meeting (athletes must attend to participate in race):

Attach tentative agenda.

Open Water Source LLC
www.openwaterswimming.com

POW PLAN
POOL PLAN

Dimensions of Pool (25 yards, 50 meters): Number of Lanes used for POW Races: Number of Turn Buoys: Water Depth: Maximum Number of Swimmers per Heat: Direction(circle one): Clockwise Counterclockwise Other Course(circle one) : 4 buoys (Rectangle) 3 buoys (Triangle) 2 buoys (Loop)

How is the course marked?

Turn buoys height: Is a Feeding Station Available? Yes No Describe start (circle one): Describe finish (circle one):

Color: If so, where? Pool deck Pool deck On wall On wall In Water In water

If a pool (course) map is available, please email to headcoach@openwatersource.com. Please send a race summary, results, photos and video links to headcoach@openwatersource.com in order to write an article in the Daily News of Open Water Swimming..
MEDICAL PERSONNEL

Name of lead medical personnel (emergency trained) on site : Circle One: M.D. D.O. EMT-P EMT NP PA Yes No

Experience in pool or open water events or triathlons: Describe on-site medical care:
FIRST RESPONDERS/LIFEGUARDS

Indicate the number and qualifications of the first responders (prefer open water experience).

ARC Lifeguards USLA responder____________

YMCA

Open Water Source LLC

Equivalent water certified first

www.openwaterswimming.com

RACING PROCEDURES

Describe method of athlete body numbering, if any:

Describe method of timing, if any:

Describe different swim cap colors for the various age groups/genders/heats::

Describe warm-up and warm-down:

Describe starting method: Voice

Air Horn

Starter’s Pistol

Number of referees:

Positioning of referees:

Describe methods to inform athletes of infractions (e.g., whistles, colored cards):

COMMUNICATIONS

Primary method between POW Officials and Safety Personnel:

Radio

Cell Phone

Megaphone

Other

Secondary method: - - - - - - - - - - - - - - - - - - - - - - - - - - - - Applicant Do Not Write Below This Line - - - - - - - - - - - - - - - - - - - - - - - - TO BE COMPLETED BY OPEN WATER SOURCE REPRESENTATIVE

Approved:

No

Yes

Sanction Paid: No

Yes

Recommendations: Signed: Name: Title: E-mail: Date:

Open Water Source LLC
www.openwaterswimming.com