Snake River Swimming Athlete Transfer Form

Snake River Swimming Athlete Transfer Form

Please download & read the Athlete Transfer Instructions before proceeding.
I have read the Athlete Transfer Instructions on the Registration Page of the Snake River Swimming Website. *

Yes
Choose one type of transfer: *

Change Clubs within Snake River Swimming; $10 fee, effective 1/1/2018 Unattached to/from a Snake River Swimming club; no fee Transfer into Snake River Swimming from another LSC; no fee, unless required by previous LSC Transfer from collegiate team to home club; no fee, but this form is required
The statement regarding your last competition date MUST be completed or this form will NOT be accepted.
Complete FULL Legal Name (Last, First, Middle) *
Preferred Name, if different from Legal First name
Date of Birth

Month Day Year
Date
Gender

Female Male
New Club Name & Club Code; LSC is Snake River (SR) *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Parent Phone Number *

Area Code Phone Number
Parent Email *
example@example.com
Athlete Email
example@example.com
Previous Club Name *
Previous Club Code *
Previous LSC (if known)
Statement of Transfer and Good Standing: I understand that I must wait 120 days from my last competition representing my previous club before I can represent my new club in competition. I will swim UNATTACHED in any meets in which I participate during those 120 days. I will not swim on any club relays until my 120 days have elapsed. I also certify that I am in good standing with my old club/LSC and that all information is true and correct to the best of my knowledge.
Date of last competition: Date*
Name & Location of Meet: *
Fee (if applicable) will be paid via: *

No fee necessary; transfer into Snake River Swimming from another LSC, OR college athlete returning to home team. Venmo; via the Venmo app, send to @snakeriverregmem Cash.app, via the Cash app, send to $snakeriverregmem PayPal.me on the web at paypal.me/snakeriverregmem or via the PayPal app; be sure to pick "Send money to a Friend;" if fees are charged to Snake River, the individual will be contacted and the transfer will not be processed until the entire fee is received. Check, made payable to Snake River Swimming; mail to Snake River Registrar, 9622 W Rimrock Dr, Peoria AZ 85382. Transfer will not be initiated until the check is received.
Questions? Email adluptak@gmail.com or phone (208) 525-2047.
The previous club and LSC will be notified of this transfer by USA Swimming. The previous club has the responsibility to notify the Snake River Registrar within sixty (60) days 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.
By signing, I verify the above information to be true. *

Clear
Date *

Month Day Year
Date
FOR OFFICE USE ONLY: Received Date
Eligible to compete for (club): blanks on Date .
Questions? Contact the Snake River Registrar at adluptak@gmail.com .
Should be Empty:

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