2019 Colorado Athlete YR USA Swimming Form

Colorado Athlete Premium USA Swimming Form

This is for only unattached/unaffiliated swimmers. If you are a member of a club, please contact that club for registration details.
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
Have you been Registered before in or outside of Colorado *

Yes No
If yes, team name
Athlete Name *

First Name Middle Name Last Name
Preferred name
Birthdate *

Month Day Year
Date
Gender *
Club Affiliation *

Unattached
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Is Address New?

Yes
Home

Area Code Phone Number
Parent Email *
example@example.com
Swimmer Email
example@example.com
Ethnicity 1 (Optional)
Parent/Guardian Name 1
Parent/Guardian Name 2
Ethnicity 2 (Optional)
U.S. Citizen *
Check if you would like to learn more about the USA Swimming Foundation’s initiatives Check if you would like to receive the electronic USA Swimming Newsletter
Registering as: *
Credit Card Payment
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2022 Premium Athlete YR Registration $ 78.00

Total $ 0.00
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Colorado Athlete Premium USA Swimming Form