Non-Athlete Transfer/Information Change Form
Iowa Swimming, Inc
Current Registration Information
Check all that apply. I am a/an:
Coach
Official
Other
Last Name
*
First Name
*
Middle Name
*
Preferred Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
USA Swimming ID Number
*
DOB MMDDYY followed by the first 3 letters of the first name, middle initial, and first 4 letters of the last name. Example: John Q Smith born 1/24/84 USA Swimming ID# is 012484JOHQSMIT
Date of Birth
*
Date
Gender
*
Previous Club Information
Previous LSC Code
*
2 letters representing your previous LSC...IL, MV, NT, MN, etc
Previous Club Code
*
3 or 4 letters representing your previous club's name...FAST, DSC, etc
Previous Club Full Name
*
New Club Information
New LSC Code
New Club Code
*
3 or 4 letters representing your new club's name
New Club Full Name
*
Submit
Should be Empty: