JUNIOR ACTIVITIES COMPETITION EVALUATION
MASTER RECORD SHEET
Age Group: Under 8
Assessment ID:
Pre Requisites:Competent in Junior Activities Preliminary Evaluation Under 8 / Prelim
Evaluation / Run-Wade-Run
Location:
First Name / Surname / Competent
(/×) / Time
25m-25m-25m / Competent
(/×)
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10
Qualified Assessor : Junior Activities Accreditation Officer or Bronze Assessor / AssessorName:
AssessorSignature:
DateWitnessed:
Age Group: Under 9
Assessment ID:
Pre Requisites:Competent in Junior Activities Preliminary Evaluation Under 9 / Prelim
Evaluation / Open Water Swim
Location:
First Name / Surname / Competent
(/×) / Time
150m (minimum)
As per Competition Manual / Competent
(/×)
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10
Qualified Assessor : Junior Activities Accreditation Officer or Bronze Assessor / AssessorName:
AssessorSignature:
DateWitnessed:
Age Group: Under 10
Assessment ID:
Pre Requisites:Competent in Junior Activities Preliminary Evaluation Under 10 / Prelim
Evaluation / Open Water Swim
Location:
First Name / Surname / Competent
(/×) / Time
150m (minimum)
As per Competition Manual / Competent
(/×)
1
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7
8
9
10
Qualified Assessor : Junior Activities Accreditation Officer or Bronze Assessor / AssessorName:
AssessorSignature:
DateWitnessed:
Age Group: Under 11
Assessment ID:
Pre Requisites:Competent in Junior Activities Preliminary Evaluation Under 11 / Prelim
Evaluation / Open Water Swim
Location:
First Name / Surname / Competent
(/×) / Time
288m (minimum)
As per Competition Manual / Competent
(/×)
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10
Qualified Assessor : Junior Activities Accreditation Officer or Bronze Assessor / AssessorName:
AssessorSignature:
DateWitnessed:
Age Group: Under 12
Assessment ID:
Pre Requisites:Competent in Junior Activities Preliminary Evaluation Under 12 / Prelim
Evaluation / Open Water Swim
Location:
First Name / Surname / Competent
(/×) / Time
288m (minimum)
As per Competition Manual / Competent
(/×)
1
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10
Qualified Assessor : Junior Activities Accreditation Officer or Bronze Assessor / AssessorName:
AssessorSignature:
DateWitnessed:
Age Group: Under 13
Assessment ID:
Pre Requisites:Competent in Junior Activities Preliminary Evaluation Under 14 / Prelim
Evaluation / Open Water Swim
Location:
First Name / Surname / Competent
(/×) / Time
288m (minimum)
As per Competition Manual / Competent
(/×)
1
2
3
4
5
6
7
8
9
10
Qualified Assessor : Junior Activities Accreditation Officer or Bronze Assessor / AssessorName:
AssessorSignature:
DateWitnessed:
Age Group: Under 14
Assessment ID:
Pre Requisites:Competent in Junior Activities Preliminary Evaluation Under 14 / Prelim
Evaluation / Open Water Swim
Location:
First Name / Surname / Competent
(/×) / Time
288m (minimum)
As per Competition Manual / Competent
(/×)
1
2
3
4
5
6
7
8
9
10
Qualified Assessor : Junior Activities Accreditation Officer or Bronze Assessor / AssessorName:
AssessorSignature:
DateWitnessed: