2025 Bay State Summer Games Swimming | Wellesley, MA | 06/28/2025

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2025 Bay State Summer Games Swim QUALIFIER Registration Form

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Price Schedule

	Through 04/15/2025	Through 05/15/2025	Final
Bay State Summer Games Swimming QUALIFIER Fee	$45	$55	$70

Categories

Bay State Summer Games Swimming QUALIFIER Fee - $55.00

Which qualifier WILL you attend? *

Each qualifier will be capped at 100 swimmers. *The Regis Qualifier 12 & Under session is FULL.

Participant Information

Contact Email *

Participant First Name *

Participant Last Name *

Participant Birthdate *

Participant Gender *

Female

Male

Country *

Street Address (w/Apt#) *

City *

State *

Zip Code *

Phone *

Would you like to receive important event text alerts on this number (eg. changes or delays)?

Emergency Contact *

Emergency Phone *

Secondary Email *

Individual Events - select up to 6

50 Free

All ages

50 Free Seed *

: .

If you are unsure of your seed time, please enter all zeros (00:00.00)

100 Free

All ages

100 Free Seed *

: .

If you are unsure of your seed time, please enter all zeros (00:00.00)

200 Free

All ages

200 Free Seed *

: .

If you are unsure of your seed time, please enter all zeros (00:00.00)

500 Free

11 & over

500 Free Seed *

: .

If you are unsure of your seed time, please enter all zeros (00:00.00)

1000 Free

11 & over

1000 Free Seed *

: .

If you are unsure of your seed time, please enter all zeros (00:00.00)

50 Back

10 & under

50 Back Seed *

: .

If you are unsure of your seed time, please enter all zeros (00:00.00)

100 Back

All ages

100 Back Seed *

: .

If you are unsure of your seed time, please enter all zeros (00:00.00)

200 Back

11 & over

200 Back Seed *

: .

If you are unsure of your seed time, please enter all zeros (00:00.00)

50 Breast

10 & under

50 Breast Seed *

: .

If you are unsure of your seed time, please enter all zeros (00:00.00)

100 Breast

All ages

100 Breast Seed *

: .

If you are unsure of your seed time, please enter all zeros (00:00.00)

200 Breast

11 & over

200 Breast Seed *

: .

If you are unsure of your seed time, please enter all zeros (00:00.00)

50 Fly

10 & Under

50 Fly Seed *

: .

If you are unsure of your seed time, please enter all zeros (00:00.00)

100 Fly

All ages

100 Fly Seed *

: .

If you are unsure of your seed time, please enter all zeros (00:00.00)

200 Fly

11 & over

200 Fly Seed *

: .

If you are unsure of your seed time, please enter all zeros (00:00.00)

100 IM

10 & under

100 IM Seed *

: .

If you are unsure of your seed time, please enter all zeros (00:00.00)

200 IM

All ages

200 IM Seed *

: .

If you are unsure of your seed time, please enter all zeros (00:00.00)

400 IM

11 & over

400 IM Seed *

: .

If you are unsure of your seed time, please enter all zeros (00:00.00)

Full Name *

.

If you do not have a middle name, leave Middle Initial blank

Select your Swim Club / Team *

What is the name of your Swim Club? *

Please enter the full name of PRIMARY coach accompanying you *

Due to lack of space on deck during this event, ONLY primary coaches will be allowed on Deck. No Exceptions

Coach Email *

Select your School Level *

High School

Middle School

Elementary School

Other

As of the 2023-2024 Academic Year

Select your High School *

What is the name of your High School? *

What is the name of your Middle School? *

What is the name of your Elementary School? *

PLEASE SELECT THE SIZE OF YOUR ATHLETE GIFT. THE ATHLETE GIFT THIS YEAR IS AN APPAREL ITEM. ATHLETE GIFTS ARE ONLY AWARDED TO ATHLETES WHO PLACE TOP THREE IN THEIR EVENT. *

S

M

L

XL

XXL

*One per athlete *All sizes are adult

PLEASE LIST ANY ATHLETIC AWARDS AND/OR ACHIEVEMENTS. EX. LEAGUE ALL STAR, 1 TIME BSG GOLD MEDALIST, SCHOOL RECORD HOLDER, BOSTON HERALD ALL SCHOLASTIC, DIII ATHLETE ETC.

Name of BSG ambassador who referred you. *

What other way did you first hear about BSG? *

Which race or ethnicity best describes you?

American Indian or Alaskan Native

Asian

Pacific Islander

Black or African American

Hispanic / Latino

White / Caucasian

Multiple Ethnicities / Other

Multiple Ethnicities / Other - Please specify

BSG Liability Waiver *

I have read and agreed to the TERMS *

CLICK HERE TO VIEW THE TERMS.

Is the participant 18 or older? *

18 or older Under 18

2025 Official Bay State Summer Games T-Shirt Limited Edition $30.00

click to enlarge

Royal Blue Dry Fit short sleeve t-shirt.
Available while supplies last. All sizes are adult

*T-shirts are mailed to the address you provide on this form. They will not be given out on-site*
**T-shirts will NOT be sold on-site during any event. T-shirts are only available for purchase ONLINE while supplies last**

S (15 left)

M (12 left)

L (16 left)

XL (32 left)

XXL (47 left)

Make a Donation

Bay State Games
click here, to learn more about this cause

Amount $

The Adopt an Athlete Fund was created to provide financial assistance to low income athletes and their families interested in competing in the Bay State Games. The goal is to cover the entry fee cost for individual and/or team sports so that disadvantaged athletes can compete in the Bay State Games. Each dollar donated will make an athlete's dream of competing with the best-of-the-best in Massachusetts a reality.

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