Event:

Swimmer's Name:

Swimmer's Age:

Male or Female:

Event:

Club:

Time:

Time:

Event:

Time:

USA Swimming Number:

Meet & Location of Swim

Date of swim (must be after March 10, 2009):

Please have payment ready at Check-In.

$2 per individual event + $5 per relay.

Make checks payable to NCSA, Inc.

By Clicking "submit", I can confirm that the swimmer entered is a swimmer ALREADY ENTERED in the 2009 NCSA Junior Nationals (with a  new qualifying time), and not a LATE ENTRY.  This is NOT a means for you to submit a LATE ENTRY or to EDIT AN ENTRY.  If you have questions, email us at ncsa_usa@hotmail.com

If the Swimmer is NOT already in the meet (as a qualifier or relay-only), Please use the USA SWIMMING OME SYSTEM.

Coach's Name:

Coach's Cell:

E-mail Address:

Last-Minute Qualifiers Entry Form

Is this swimmer already entered in the Meet?

Event:

Time:

Events: if a bonus event mark as bonus --

ex: 400 IM - BONUS

Club & LSC CODE:

ex: AFOX-AZ

If you were ALREADY ENTERED in the meet (with previously entered individual events). Please use the form below to update your entry.

, if "NO", then read the top of the page... use the OME

Notes or Comments about entry:

If you have a New relay qualified; use the OME for your new relay, and to add any new athletes that may be joining you in Orlando.  OME Link -- NCSA Instructions

Late Entry is now CLOSED

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