• 2021 USA Athlete Membership

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  •  NOTE: If you are 18 years of age or older, you are required to abide by to the Minor Athlete Abuse Prevention Policy. In addition, in order to be a member in good standing, you must complete the Athlete Protection Training. The training can be accessed at www.usaswimming.org/apt

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  • APPROPRIATE PAPERWORK SHOWING LSC QUALIFICATIONS FOR THIS OUTREACH REGISTRATION MUST BE ATTACHED TO THIS FORM IN ORDER TO PROPERLY REGISTER THIS ATHLETE

    Outreach Registration Qualifications

    Please provide of one of the following: Redacted copy of Federal Tax return showing income below Federal Reduced School Lunch income Eligibility guidelines.

    or

    Copy of one of the following proof of assistance:

    Aid to Families with Children Social Security Disability Insurance, Food Stamps, temporary Assistance to Needy Families,Supplemental Security Income, Women, Infant and Children’s Program (WICK), Medicaid, Children’s Health Insurance Plan, Section 8 Public Housing, Home Energy Assistance Program, Free/Reduced School Lunch

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  • Please print the form and mail a check for the correct amount to:

    ** NO CASH IS ACCEPTED!

    Metropolitan Swimming 

    99 Sheep Pasture Rd

    Port Jefferson, NY 11777

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