Hawkeye Masters Swim Club
                               MASTERS  SWIM   MEET
          Sanctioned by Iowa LSMC for USMS, Inc.   -      Sanction Number:  400803
   University of Iowa Field House Pool-  Melrose Ave/Grand Ave.  Iowa City
          Sunday- March 16, 2008     Warm-Ups: 8 A.M.     Meet:  9 A.M.
 
Entry Deadline: Entries MUST be received by Friday, March 14, 2008. "Deck" or "late"
entries will be accepted up to  8:45 A.M.  on Sunday morning but may be placed in slower heats.
 
Entry Fee:     $14.50 + 50 cent "splash fee"($15.00 total) or    $20.00 total for "late" entries.
Mail Entries to:            Wayne Huebener, 24 Koser Ave, Iowa City, IA 52246-1916
                            USMS REGISTRATION FORMS WILL BE AVAILABLE AT THE MEET
Further Info:  Call Wayne at 319-337-4268 Mark Kloet at 630-927-9188
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Number______
Age Groups:(circle one)  19-24, 25-29,30-34,35-39,40-44,45-49,50-54,55-59,60-64,65-69,etc..
Age Group for relays:   19+, 25+,35+,45+, 55+,65+
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1. 200 Medley Relay M/F__________________10. 50 backstroke____________________________
2. 200 Freestyle_________________________11. 100 Butterfly____________________________
3. 200 I.M.______________________________12. 500 Freestyle__________________________
4. 50 Freestyle_________________________  13. 200 Mixed Free Relay____________________
5. 100 Backstroke_______________________ 14. 50 Breastroke___________________________
6. 100 Breastroke _______________________ 15. 100 Freestyle__________________________
7. 2X 50 Mixed Free Relay________________  16  200 Backstroke________________________
8. 50 Butterfly__________________________  17. 100 I.M.______________________________
9. 200 Breastroke_______________________ 18. 1650 Freestyle_________________________
               ( 5 event limit plus relays)
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Name__________________________________________________      Phone_______________
Address________________________________________________    Birth Date_____________
City, State,Zip__________________________________________   Age_______ Gender:    M/F
_______________________________________________________________________________
ATHLETE'S RELEASE; I the undersigned participant, intending to be legally bound, hereby certify that I am
 physically fit and have not been otherwise informed by a physician. I acknowledge that I am aware of all the
 risks inherent in Masters  Swimming(training  and competition), including possible permanent disability or death,
 and agree to assume all of the risks. AS A CONDITION OF MY PARTICIPATION IN THE MASTERS
SWIMMING PROGRAM OR ANY ACTIVITIES INCIDENT THERETO, I HEREBY WAIVE ANY AND ALL
 RIGHTS TO CLAIMS FOR LOSS OR DAMAGES,INCLUDING ALL CLAIMS FOR LOSS OR DAMAGES
CAUSED BY THE NEGLIGENCE, ACTIVE OR PASSIVE, OF THE FOLLOWING: UNITED STATES
MASTERS SWIMMING,INC., THE LOCAL MASTERS SWIMMING COMMITTEES, THE CLUBS, HOST
 FACILITIES, MEET SPONSORS, MEET COMMITTEES, OR ANY INDIVIDUALS OFFICIATING AT THE
 MEETS OR SUPERVISING SUCH ACTIVITIES.  In addition, I agree to abide by and be governed by the
 rules of USMS.
________________________________________________________________________________________________
Signature__________________________________________________date________________
USMS __________________