2019 UANA PAN AM ARTISTIC SWIMMING CHAMPIONSHIPS

Preliminary entry form - Deadline: May 7, 2019

DELEGATION INFORMATION

Federation/Club Name*

Contact Person Name*

Contact Email*

Comments / Details

TRAVEL & ACCOMMODATION

Expected Arrival Date

Expected Departure Airport

Expected Departure Date

Expected Arrival Airport

# of hotel rooms with single occupancy (1 bed)*

# of hotel rooms with double occupancy (2 beds)*

# of hotel rooms with triple occupancy (2 beds)*

# of hotel rooms with quadruple occupancy (2 beds)*

ESTIMATED NUMBER OF PEOPLE ATTENDING

Please indicate the number of people of each of the categories below in your delegation

11-12 Athletes*

13-15 Athletes*

Junior Athletes*

Senior Athletes*

Coaches*

Officials*

Support Staff*

ESTIMATED NUMBER OF ENTRIES

Please indicate the number of routines for each event

11-12

11-12 Solo

11-12 Duet

11-12 Mixed Duet

11-12 Team

13-15

13-15 Solo

13-15 Duet

13-15 Mixed Duet

13-15 Team

JUNIOR

Junior Solo Tech

Junior Solo Free

Junior Duet Tech

Junior Duet Free

Junior Mixed Duet Tech

Junior Mixed Duet Free

Junior Team Tech

Junior Team Free

SENIOR

Senior Solo Tech

Senior Solo Free

Senior Duet Tech

Senior Duet Free

Senior Mixed Duet Tech

Senior Mixed Duet Free

Senior Team Tech

Senior Team Free

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