MAITRES NAGEURS du CANADA Inc
NATIONAL
CHAMPIONSHIP
APPLICATION FORM
Year: __________
Course: __________________
Proposed Dates: ______________________
HOST ORGANIZATION CHAIR MEET MANAGER Name: ____________________________ Name: ___________________________ Address: __________________________ Address: ___________________________ City: _____________________________ City: ______________________________ Province: _________________________ Province: __________________________ Postal Code: ___________ Postal Code: ____________ Phone : __________________________ Phone: _____________________________ Fax: ____________________________ Fax: _______________________________ e-mail: __________________________ e-mail: ____________________________ MEET EXPERIENCE: Host Chair: Meet Manager: FACILITY INFORMATION: Facility Name: ______________________ Age: ________ Address: ___________________________ Competition Pool Length: _____________ Competition Pool Width: ______________ Number of Lanes: ________________ Lane Width : ________________ Phone: _________________________ Warm Up pool length _______ width _______ Warm Up Pool Number of Lanes ________
Is the pool certified by the provincial governing body? If so, attach a copy of the certificate.
In the event that Masters Swimming Canada awards the National Championship to our organization, we agree to all "Terms of Host's Obligations" as delineated on the Masters Swimming Canada National Championship Meet Contract.
The Competition Rules and Guidelines Committee shall designate a liaison to provide assistance and guidance necessary to provide for uniformity in the conduct of the National Championship. This shall include communications during the 18 months prior to the meet, a pre-meet site visit approximately 3 months prior to the Championship and attendance at the meet.
By: ___________________________________________ Date: __________________ Meet Manager By: ___________________________________________ Date: __________________ Chair: Organizing Committee
The purpose of this contract is to ensure that Canadian Championship swim meets are conducted properly. A well run meet should move quickly, assure official times, and be enjoyable to all participants.
Please read this contract carefully. Your signature on this contract is evidence of your understanding of and agreement to these contract terms.
The undersigned Host Organization Committee agrees to conduct the 20 ___ Canadian Long/Short Course Championships according to the terms of this contract and the current Masters Swimming Canada Canadian Championship rules.
DATES ________________________________________ POOL ______________________________________________________ HOST ORGANIZATION(S) ________________________________________________ HOST AUTHORIZED RESPONSIBLE SIGNATORIES _________________________ ________________________________________________________________________ ADDRESS ______________________________________________________________ __________________________________________________________________ PHONE (work) ___________________________ (home) ________________________ MSC COMPETITION RULES & GUIDELINES CHAIR ____________________________ ADDRESS ______________________________________________________________ PHONE (work) __________________________ (home) _______________________
Liability: If there is a failure to comply in any area that creates a liability risk for MSC then the Host Organizing Committee assumes full liability.
AGREED: __________________________________________________________________________ Meet Manager Date Phone __________________________________________________________________________ Authorized Responsible Person Date Phone Representing _______________________________________________________________ Host Organization __________________________________________________________________________ Authorized Responsible Person Date Phone Representing _______________________________________________________________ Host Organization __________________________________________________________________________ MSC President Date Phone __________________________________________________________________________ MSC Championship Rules and Guidelines Date Phone Committee Chairperson
Meet Entries (average 5 events per swimmer)
Meet Surcharge ($20 per swimmer)
Relay Income
Banquet Fees (300 persons @ $18 each)
Advertising
Vendor Income
Concessions/Souvenirs
Results Sales
Other Income, e.g. raffle, misc.
TOTAL REVENUE
MSC Fees
Souvenirs
Awards
Pool Rental ($1000 per day x 5 days)
Printing (Program & Results)
Banquet
Medical
Transportation
Hospitality
Computerization (Data Entry, air fare, etc.)
Officials & Operations (Timers, freebies, etc.)
General Supplies (Postage, telephone, copying, etc.)
Miscellaneous
TOTAL EXPENSES
NET INCOME (LOSS)
host organization
HOST ORGANIZATION
_________________________________________ __________________ ___________________
Meet Manager Date Phone
_________________________________________ __________________ ___________________
Chair Organizing Committee Date Phone
Representing _________________________________________
Host Organization
________________________________________ __________________ ___________________
Chair Organizing Committee Date Phone
MASTERS SWIMMING CANADA
_______________________________________ __________________ ___________________
MSC President Date Phone
______________________________________ __________________ ___________________
MSC Championship Rules and Guidelines Date Phone
Committee Chairperson
Mail to: Masters Swimming Canada, P.O. Box 3365, Meaford, ON, N4L 1A5