National Collegiate Club Championship Hosting Bid Form

E-mail Address*

First Name*

Last Name*

Address 1*

City*

State*

ZIP Code*

Cell Phone Number*

Form must be returned before annual conference call preceding the championship

School*

Contact Person*

Contact Person Email*

Contact Person Phone*

Administrator Email*

Administrator Phone*

Name of Pool*

Address of Pool*

Selectbox*

Pool Seating Capacity*

Number of Locker Rooms (Available for Men or Women)*

Separate Locker Room for Officials?*

Closest Major Airport*

What Airlines Service the Airport (i.e. - Southwest, Delta, United, Jet Blue, etc.)?:*

Mileage to Airport*

Pool Timing Equipment Manufacturer*

Do Game Clock & Shot Clocks Interface Together?*

Is Internet Service Available in the Pool (i.e., are there ethernet jacks in the pool area)?*

We understand the costs and administrative responsibilities associated with hosting this event as specified in this Handbook and agree to assume these expenses and duties. Furthermore, we have read the Handbook and are capable of fulfilling all requirements necessary to host the championship tournament, including the provision of pool time.

Administrator's Digital Signature*

Date*

Title of Administrator*