Swimming Australia TEAM Clearance Request Form

1
I am requesting Clearance for members of the following club:* This field is required.
2
These swimmers are members of the below State Swimming Organisation:* This field is required.Please select only one
ACT
NSW
NT
QLD
SA
VIC
WA
TAS
3
The country/ies you plan to visit are:* This field is required.
4
Please provide the name and date of the international competition/s you will attend during your visit:* This field is required.
Huge
Large
Normal
Small
Ok
Ok
5
This clearance request will be valid between the below dates:* This field is required.
6
Clearance is sought for the following swimmers:* This field is required.Please provide factual information as shown in Swim Central for each swimmer on this application
7
Continue here if your team includes more than 10 swimmers. Skip to next page if not requiredPlease provide factual information as shown in Swim Central for each swimmer on this application
8
Your email* This field is required.We will use this email to send confirmation of this request and a copy of the clearance letter, if approved by Swimming Australia
example@example.com
9
Your Name* This field is required.
First Name
Last Name
10
Relationship to team* This field is required.Coach, parent, state MO etc
11
Terms and Conditions* This field is required.
Should be Empty: