Non-Athlete Transfer/Information Change Form

Address *

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 *
Should be Empty:

Current Registration Information