CUBU Meet Registration :: Team Program
at the Germantown/Quince Orchard facility
Swimmer Information
First Name:
Middle Initial:
Last Name:
Birth Date:
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Gender:
Choose one
Boy
Girl
Meet Name:
Select Meet
Grand Prix Meet - Charlotte, NC
Pan Am Games - Rio de Janeiro, BRA
Conoco Phillips National Championships
Speedo Junior National Championships
Short Course (SCY) National Championships
PVS Catch the Spirit Camp
Early Bird LC Invitational
Virginia LC State Championships
Bunkey Lewis 9&U Mini Meet
30th Maryland State LC Championships
Grand Prix Series
PVS Senior and Age Group I
PVS Distance Meet
Swim Like a FISH Invitational
PVS Senior and Age Group II
Grand Prix Series Meet
PVS Senior LC Champs
PVS Junior LC Champs
PVS Age Group LC Champs
Speedo Championship Series
Eastern Zone (Combined Meet)
Conoco Phillips National Championships
USA Swimming Junior Championships
Eastern Zone LC Championships
Age:
(on first day of meet)
Email:
Phone:
EVENTS YOU ARE SIGNING UP FOR
If you did not swim with CUBU-GT last season AND have a time within the last year for an event being entered please write it down next to the event.
Stroke
Distance
Time
1st Event
Back
Breast
Fly
Free
IM
Distance
25
50
100
200
400
500
800
1000
1500
1650
2nd Event
Back
Breast
Fly
Free
IM
Distance
25
50
100
200
400
500
800
1000
1500
1650
3rd Event
Back
Breast
Fly
Free
IM
Distance
25
50
100
200
400
500
800
1000
1500
1650
4th Event
Back
Breast
Fly
Free
IM
Distance
25
50
100
200
400
500
800
1000
1500
1650
5th Event
Back
Breast
Fly
Free
IM
Distance
25
50
100
200
400
500
800
1000
1500
1650
6th Event
Back
Breast
Fly
Free
IM
Distance
25
50
100
200
400
500
800
1000
1500
1650
7th Event
Back
Breast
Fly
Free
IM
Distance
25
50
100
200
400
500
800
1000
1500
1650
8th Event
Back
Breast
Fly
Free
IM
Distance
25
50
100
200
400
500
800
1000
1500
1650
9th Event
Back
Breast
Fly
Free
IM
Distance
25
50
100
200
400
500
800
1000
1500
1650
10th Event
Back
Breast
Fly
Free
IM
Distance
25
50
100
200
400
500
800
1000
1500
1650