CARNEGIE  MELLON  UNIVERSITY   
17th  ANNUAL  1650 Yard SWIM CHALLENGE 
Sunday the 3rd of MARCH 2013 @ The University Center

WARM UPS @ 7:45 AM.................1st HEAT @ 8:30 AM..................Swimming FASTEST to SLOWEST

IF YOU ARE UNABLE TO SWIM ON THE 3rd YOU CAN PARTICIPATE VIA THE U.S. MAIL
MERELY SWIM THE 1650 @ YOUR POOL
IF YOU WISH A SHIRT & OR YOUR TIME POSTED ON THE 3rd
THEN PLEASE MAIL YOUR TIME & ORDER by the 20th of FEBRUARY

ENTRY FEE $25
IF YOU WISH A COMMEMORATIVE T-SHIRT DESIGNED BY MEMBERS OF THE SWIM TEAM FOR $15
PLEASE CIRCLE CHOICE:    M    L    XL            
If you order a T-SHIRT then it’s $30 TOTAL ! “A real deal!”

IT IS IMPERATIVE THAT EACH SWIMMER HAVE A COUNTER  !!

NAME................................................................................................................GENDER...............AGE AS OF THE 15th of March..............

ADDRESS…….......................................................................PHONE.........................................EMAIL.........................................................

CITY….….................................................................................................STATE.....................................ZIP................................................

SEED TIME PLEASE..................................USMS#…………………………….AFFILIATION..................................................
WAIVER:
I hereby, for myself or executors, release CARNEGIE MELLON UNIVERSITY & The CARNEGIE MELLON Varsity Swimming  Teams, the host and individuals from all claims of injury, damage and courses of action whatsoever growing out of my 
participation in this event and hereby certify that I am physically fit to participate in this 1650 Yard Swimming Event.

SIGNATURE:..............................................................................................DATE.........................................
Please SIGN & Mail this Form by the 20th of February, along with your payment.

Please make your check payable to: 
CARNEGIE MELLON UNIVERSITY 
MAIL TO:
JIMMY GOLDMAN
5281 FORBES AVENUE
PITTSBURGH PA 15217.1161
 
QUESTIONS: Jimmy Goldman - Email: jpgsports@aol.com .....................................Voice: 412.683.0856
If you wish to swim next to another swimmer(s) please note that on your Entry.

IF YOU SHOULD BETTER AN AGE GROUP RECORD YOU GET A CARNEGIE MELLON SWIM CAP 

Set a MEET RECORD & YOU GET $ 50 in Merchandise from B&R Pools.
 
ALL PROCEEDS SUPPORT THE MEN’s & WOMEN’s VARSITY SWIMMING TEAM