2022 Colorado Athlete FLEX USA Swimming Form

FLEX MEMBERSHIP Colorado Athlete 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. 18 & UNDER ONLY
Swimmer is 18 & under *

Yes No
You are not eligibile to be a flex member.
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
This is for FLEX membership, you can only swim 2 meets per year with this membership. I acknowledged this is the membership I want to choose. *

Yes
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
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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FLEX MEMBERSHIP $ 20.00

Total $ 0.00
Should be Empty:

FLEX MEMBERSHIP Colorado Athlete USA Swimming Form