DAAA Record Application Form

Instructions

DAAA records are the fastest times swum by a DAAA member.  Performances by foreign swimmers are not recognized as records.

You may submit times from meets that have at least two certified officials, including DAAA, USA Swimming, U.S. Masters Swimming, high school, collegiate, and international meets.

Answer all questions on this form.  If you don't know an answer (for example, if you don't know your IPC classification) write in "I don't know".

Attach proof-of-time for each event you want considered as a record.  Proof-of-time consists of printed meet results with your name and time circled or highlighted and either (a) the printed report from the automatic timing device or (b) your time card with the signature of the meet referee or meet secretary.

Send the completed application form and proof-of-time to the DAAA office.  These materials will be forwarded to the Swimming Technical Director.

Dwarf Athletic Association
418 Willow Way
Lewisville, TX 75077

Swimmer Information

Name  
Street Address  
City/State/Zip Code  
Phone Number  
E-mail Address  
Birthdate and Age      Birthdate_________________       Age_____ years
Gender (circle)      Male        Female
DAAA Classification
(circle)		      Class 1       Class 2       Class 3       Masters
IPC Classification      S___       SB___       SM___

Swimming Meet Information

Name of Meet  
Name of Pool  
City/State/Nation
where pool is located		  
Date of Meet  
Length of Pool
(circle)		      25 yards       25 meters       50 meters
Name of Meet Referee or Secretary  
Signature of Meet Referee or Secretary  

Events and Times

Describe each event in which you set a new record. Circle the distance and stroke. Record your achieved time to the hundredth of a second.

Distance Stroke Time
   25     50     100     200     other____   free     back     brst     fly     IM  
   25     50     100     200     other____   free     back     brst     fly     IM  
   25     50     100     200     other____   free     back     brst     fly     IM  
   25     50     100     200     other____   free     back     brst     fly     IM  
   25     50     100     200     other____   free     back     brst     fly     IM  
   25     50     100     200     other____   free     back     brst     fly     IM  

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