Clone of 2025 GA Swimming Diversity Camp Application

2026 GA Swimming Diversity Camp Application

April 25, 2026 - Frances Meadow Aquatic Center Location: Frances Meadows Aquatic Center- 1545 Community Way NE Gainesville, GA 30501 TIME: 9:00 am to 3:00 pm
All athletes are required to sign the Liability Waiver and Code of Conduct and upload those signed documents at the end of this form.

Qualifications & Eligibility
• Open to all eligible Georgia Swimming athlete members ages 11-16. Limited Spaces Available.
• Swimming Component-Minimum of a B standard. Not open to state qualifiers or faster.
Athlete's Full Name (including middle name or initial)*

First NameMiddle NameLast Name
Athlete's Date of Birth*

MonthDayYear
Date
Athlete's Age on April 25, 2026*
Age
Athlete's Gender*
Gender
Athlete's Shirt Size*
Please select size
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/ Legal Guardian Full Name*

First NameLast Name
Parent/Legal Guardian Email Address*
example@example.com
Athlete Email Address (if applicable)
example@example.com
Parent/Legal Guardian Phone Number*
Format: (000) 000-0000.
Athlete's USA Swimming Member ID*
13 Digit Member ID
Club Name*
Club Name
Coach's Name*

First NameLast Name
Coach's Email*
example@example.com
Coach's Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Yes, I acknowledge and understand.
Ethnic/ Community Representation*
I understand and agree that the information provided are true and correct
Name of meet the "B" Standard was achieved*
Name of 2024-2025 season meet
Date of Meet*

MonthDayYear
Date
GPA achieved during the first semester of the 2025-2026 academic school year*
Athlete's Signature*

Clear
Coach's Signature*

Clear
Parent/ Legal Guardian's Signature*

Clear
Upload Statement (Optional)

Upload letter of recommendation if athlete did not meet 2.0 GPA standard
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Please Upload Signed Liability Waiver*

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Please Upload Signed Code of Conduct*

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My Products*
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Registration Fee
$25.00 Quantity
Item subtotal:$0.00

Total

$0.00
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2026 GA Swimming Diversity Camp Application