USA Swimming Transfer Request Form

USA Swimming Transfer Request Form

Metropolitan Swimming Inc. (MR)
CURRENT REGISTRATION INFORMATION:
Last Name:*
First Name:*
Middle Name:
Preferred Name
Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is this a new address?*

YesNo
Home Phone
USA Swimming Member ID Number
Date of Birth*

MonthDayYear
Date
Age
Sex*

MaleFemale
Previous Club LSC Code:*
Previous Club Code:*
Previous Club Name:*
Last Date of Competition representing this club:*

MonthDayYear
Date
New LSC Code:
New Club Code*
New Club Name*
This will confirm that the above information is correct. I understand that the above athlete will remain Unattached for 60 consecutive days from the date of last open sanctioned competition in accordance with USA Swimming Rules and Regulations 203.3.*

Clear
Signature of Athlete, Parent or Guardian
Each LSC may charge a transfer processing fee. Metro Transfer Fee: $5.00

The athlete’s former club will be notified that a transfer has occurred. It is the responsibility of the athlete’s former club to notify the LSC Registrar if the club has obtained a court judgment which would cause the swimmer to be unattached pursuant to Article 203.6.

Article 203.6 If a member club of an LSC has secured a court judgment against an athlete member (or his/her parents or custodians) for non-payment of club membership dues and fees which entitle the athlete to compete attached to the club that athlete shall be ineligible to represent any USA Swimming member club until the judgment is paid.
Reply to Email
example@example.com
Name

First NameLast Name

Transfer Fee*

Transfer Fee$5.18

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Phone Number

Area CodePhone Number
Should be Empty: