CIF Para-Athlete Entry

Email Secondary Email

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Name of School *

CIF Section *

Participant Name (First Last) *

Gender *

Male Female

Year in School *

9th 10th 11th 12th

Visit CIF Para-Athlete Swim Contest Rules for more information on Class Time Standards

Athlete Type *

Class I Class II

Event *

50F Class I 50F Class II 100F Class I 100F Class II

Qualifying time for 50F Class I

Must include time to be considered.

Qualifying time for 50F Class II

Must include time to be considered.

Qualifying time for 100F Class I

Must include time to be considered.

Qualifying time for 100F Class II

Must include time to be considered.

Coach Name (First Last) *

Coach Phone Number *

Email address *

AD Email *

Principal Email *

I certify that the identified student-athlete is eligible to participate in the para-athlete division. The student-athlete's permanent, physical disability is verifiied by a licensed physician and maintained on permanent file at the school. *

Yes

Student-athlete is currently participating on high school swim team *

Yes

* required field