• Gender Self-Identity Verification Request

  • This form is based on USA Swimming Athlete Gender Inclusion, Competitive Equity and Eligibility Self-Identity Verification Request.

  • Individual Completing this Request Form:

  • Relationship to athlete (select):*
  • If not the athlete or athlete’s parent/legal guardian, please provide the following: Is the athlete’s parent/legal guardian aware of this request?*
  • Is the athlete’s club/coach aware of this request?*
  • Are there concerns with GRAL contacting the athlete’s club about this request?*
  • Format: (000) 000-0000.

  • GRAL Athlete Information:

  • Which of the following applies to the athlete?*
  • Is the athlete requesting a name change with GRAL?*
  • Athlete’s original competition category:*
  • Athlete’s requested competition category:*
  • Has the athlete previously requested a competition category change request?*

  • By submitting this Self-Identity Verification Request the athlete, and/or the athlete’s parent/legal guardian, as applicable, represents and agrees that:
    (a) All information submitted in connection with the Request is accurate and complete to the best of their knowledge and that no relevant information has been intentionally withheld.
    (b) The athlete will fully cooperate with and provide any additional information requested by GRAL.
    (c) Neither GRAL, nor any GRAL contractors, directors, officers, agents, representatives, or other persons involved in the administration of this request shall be liable in any way in relation to acts done or omitted to be done in good faith in connection with the administration of the applicable Policy

  • Should be Empty: