Hewlett Swim Club Qualifications Screening

Name: ___________________________________________Age:________________ Sex:____________

Did you swim last year? _______________________

Hewlett form completed?____________________ Hewlett Fees Paid? _______________

Team application completed?_________________ Team Fees Paid?_________________

Rate each area 1 –5 Five being able to compete at a championship level

Max score = 100 points

Score
Can you compete on Saturday? 5 if yes 3 if most 0 if no  
Can you compete on Sunday? 5 if yes 3 if most 0 if no  
Can you leave for meets weekdays by 5:00 PM? 5 if yes 3 if most 0 if no  
Did you swim in champs last year? 5 points if yes 3 if scheduled alternate  
Freestyle
  Evaluation area Notes Score
  Stroke technique    
  Time for a 25    
  Flip turn    
  Start    
  Total stroke score    
Backstroke
  Evaluation area Notes Score
  Stroke technique    
  Time for a 25    
  Flip turn    
  Start    
  Total stroke score    
Breaststroke
  Evaluation area Notes Score
  Stroke technique    
  Time for a 25    
  Turn    
  Start    
  Total stroke score    
Butterfly
  Evaluation area Notes Score
  Stroke technique    
  Time for a 25    
  Turn    
  Start    
  Total stroke score    
  Total score