Colorado Swimming/USA Swimming Transfer Request Form
Current Registration Information:
Name
*
First Name
Middle Name
Last Name
Preferred Name:
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone
USA Swimming ID (from Deck Pass)
Birthdate
*
-
Month
-
Day
Year
Date
Sex
*
Male
Female
Age
*
CURRENT CLUB (name, Club code and LSC if not Colorado)
*
Last date of Competition with Current Club
-
Month
-
Day
Year
Date
Name of Meet, City and State
NEW CLUB INFORMATION
New club Name
Do you have a new Address:
yes
New Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Transfer Fee Information:
*
Transfers $10.00
Credit Card Payment
*
prev
next
( X )
Transfer one club to another
$
10.00
Total
$
0.00
Submit
Should be Empty: