2019 Zone Open Water Championship
Answers marked with a * are required.
 
1. Athlete Full Name (from 2019 USA Registration Card) *
 
 
 
2. Club *
 
 
 
3. Athlete Age on June 14, 2019 (Date of Competition) *
 
 
 
4. Gender *
 
 
 
5. I wish to enter my Athlete in the following Event
See instructions if you are 14&Under, and are using this event to qualify for the 2020 5K Open Water Nationals, or 2020 Junior National 5K Championship.
*



      
 
 
 
6. T-Shirt Size *






      
 
 
 
7. Will you be attending the Open Water Clinic on Thursday, June 13, 2019 at 3:30 PM?
Note: There is a clinic fee of $15.00, and includes a dinner afterward. Additional Meals for parents/siblings can be purchased for $6.00 each. Parents are responsible for these costs.
*
 
 
 
8. Parent's Name *
 
 
 
9. Parents e-mail address (for confirmation) *
 
 
 
 
 

Created with eSurveysPro.com Survey Software.