Coaches Support for National Competition

ALL QUESTIONS MUST BE ANSWERED:

CLUB NAME:

CLUB ADDRESS -- STREET:

CLUB ADDRESS -- CITY: STATE: ZIP:

NAME OF COACH: EMAIL ADDRESS OF COACH:

COMPETITION SITE:

To qualify for travel assistance, the coach/team must attend at least three (3) of the designated Pacific Swimming Junior and Senior level meets during the previous twelve (12) month period. There shall be a limit of two (2) national level meets for which a coach/team may receive travel assistance per year. The Senior Committee will determine eligibility. Coach application for travel assistance request must be received by the Senior Committee by the end of the third month following the attended meet. The travel assistance for coaches will be the same amount as determined by the Board of Directors for airfare as determined for the athlete for the same meet. No payment for the coach will be made if the coach or club is indebted to Pacific Swimming. No payment will be made until the indebtedness has been resolved.

(Reimbursement checks will be made payable to the “club”)

Meet Attended:

Dates of competition: Location:

Name at least one of your athletes attending the competition:

Names and dates of at least three (3) qualifying Pacific Swimming Senior or Senior T & F meets your club has attended in the past twelve (12) months:
Qualifying Meet 1):
Qualifying Meet 2):
Qualifying Meet 3):

Please check this box to certify that the information you are submitting is true:

Print a copy for your records before submitting.

You can also mail the printed form to:
Pacific Swimming Senior Committee, PO Box 591185, San Francisco, CA 94159

All requests for reimbursement must be submitted within 3 months of the meet for which you are requesting assistance, please submit promptly following the meet .

Return the form by online by pressing the "Submit" button below: