GRAL Special Needs Request Form

GRAL Special Needs Request Form

We prefer for the coach to fill out this form.
Year
Club Name
Swimmer Name
Swimmer Age
Swimmer Gender
Please explain the exemption request and rationale.
Is the Swimmer currently a member in good standing of your team?
Has this swimmer had the same exemption in the past?
Name of Person filling out this form

First NameLast Name
Role with club
E-mail
Phone Number

Area CodePhone Number
Anything else you want to tell us?
Should be Empty: