EmailMe Form - PVS - ATHLETE TRANSFER REQUEST FORM

EmailMeForm

USA Swimming ID
14 characters
Name (Legal name) *
First Last
Middle Name/Initial
Primary Phone
### - ### - ####
Email *
Address Changed ? *
NO. skip to next section About Previous Club
YES. please fill out the new address below
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
About Previous Club
Previous LSC: LSC CODE *
CLUB CODE or CLUB Name *
Meet Representation ? *
NO, Meet Represented this club
YES, Represented this club at Meet
LAST DATE of competition *
MM / DD / YYYY
Representing this club. To find the meet date,
TIMES search is available at USAS website.
Name of meet/City/State
About New Club ( New LSC Code:PV)
CLUB CODE *
Site/Pool Name
This will confirm that the above information is correct. I understand that the above athlete will remain Unattached for 120 consecutive days from the date of last open sanctioned competition in accordance with USA Swimming Rules and Requlations 203.3
*
I agree.
I don't agree.
Name *
First Last
Today's Date *
MM / DD / YYYY
The Registrar of the LSC into which the athlete is transferring will notify the old club that this transfer has occurred. The old club has the responsibility to notify that LSC Registrar if the club has obtained a court judgment in accordance with USA Swimming Rules and Regulation 203.6. If there is a court judgment, the swimmer will be Unattached until such time as the judgment has been satisfied.
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About Previous Club

About New Club ( New LSC Code:PV)