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2010 and 2011 Registration & Membership Forms
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Form
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Description
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2010 Pacific/USA Swimming Year-Round Athlete Registration Application 2010 Pacific/USA Swimming Summer Season Athlete Registration Application
2011 Pacific/USA Swimming Year-Round Athlete Registration Application2011 Pacific/USA Swimming Fall Season Athlete Registration Application
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These forms are for use by athletes to register or to renew their registration. Note that there are different forms for year-round registration and for seasonal registration. Please use the appropriate form for your situation.
2010 year-round registration is valid from Sept. 1, 2009 through Dec. 31, 2010. 2010 summer seasonal registration is valid through Sept. 6, 2010.
2011 year-round registration is valid from Sept. 1, 2010 through Dec. 31, 2011. Fall seasonal registration is valid from Sept. 7, 2010 to Feb. 3, 2011.
The registration forms may be downloaded and copied, but please trim the page as requested before submitting it.
Athletes affiliated with a club should look to their club for assistance in the registration process, as many clubs choose to register their swimmers electronically.
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Transfer Form
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For use by athlete members when transferring their affiliation from one club to another within Pacific or when transferring into Pacific from another LSC. (Follow this link for more information about the transfer process)
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2011 Pacific/USA Swimming Non-athlete Registration Application
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For use by coaches, officials, meet directors, and other non-athletes to join or to renew their membership.
Coaches, follow this link for a list of organizations providing approved courses in first aid, CPR, and safety training that you can use to obtain the certifications necessary to obtain or renew your coach membership in Pacific/USA Swimming. Also, here is a list of local safety training providers.
Note that meet marshals are no longer required to be non-athlete members of USA Swimming.
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2011 Pacific/USA Swimming Club Application Form
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For use by prospective clubs to join or by current member clubs to renew their membership. Clubs may join as year-round or seasonal; see the club membership application form for detail on dates. Please note that the application form must be filled out completely.
Please note that if you are starting a new club, there are a number of other forms you need to complete and a number of other issues you need to consider. You can find links to these forms and more information about the requirements for starting a club on the Starting a New Club page on the USA Swimming web site.
In addition to competing a club membership application, you will need a coach who is a member of USA Swimming and holds valid CPR, first aid, and safety training certifications, and you will need registered swimmers. Every coach (paid or volunteer) who is on the deck at a club workout or coaching at a meet must be a current coach member of USA Swimming. Your club must renew its membership each calendar year, and as part of this renewal process, your coaches must submit proof of current CPR, first aid, and safety training certifications.
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2011 Pacific/USA Swimming Club Organizational Member Application Form
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For use by prospective organizational members to join or by current organizational members to renew their membership.
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Meet Sanction and Meet Management
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Form
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Description
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2010 Meet Sanction Application Package
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To be used to apply for a meet sanction within Pacific Swimming. Also includes all the forms you'll need to conduct your meet and to submit required information to Pacific after your meet.
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Meet Approval Report
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To be used to apply for approval from Pacific Swimming for a non-Pacific Swimming meet.
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Dual Meet Referee Report
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To be submitted by the meet referee after a sanctioned dual/tri/quad meet.
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Sending Results
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Instructions on how to send your meet results to Pacific Swimming after your meet
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Travel Assistance
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Form
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Description
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Application for Pacific Swimming Travel Assistance (updated as of July 2010 -- prior versions are obsolete)
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The Application for Pacific Swimming Travel Assistance has been changed significantly for 2010 national meets. The person or club requesting reimbursement is now required to include receipts with the request for travel assistance. The receipts can be for airfare, hotel, food or other related travel expenses, up to the amount of the travel allowance for the meet passed by the Board of Directors. The new rules also require that the request for reimbursement be received by Pacific's Registration office within 60 days of the end of the meet.
(Follow this link to Pacific's Rules and Regulations, Section 9, for details on the travel assistance provided by Pacific Swimming to Pacific swimmers who compete in national championship meets.)
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Application for Coach Travel Assistance (online form)
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To be used by coaches to apply for the designated travel assistance for national meets. (Follow this link to Pacific's Rules and Regulations, Section 9, for more information about travel assistance provided by Pacific Swimming to Pacific coaches who participate in national championship meets.)
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2011 Bid Package and Meet Criteria for Major Pacific Meets
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Document
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Description
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2011 Bid Package
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To be used by clubs wishing to bid to host a meet on Pacific Swimming's 2011 major meet calendar. It includes instructions, a link to the online application form (no more paper applications!), a copy of the 2011 Pacific schedule, and the age group and senior meet criteria for 2011.
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Age Group Meet Criteria
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Specifies facility, time standards, personnel, format, awards, and other criteria which clubs must meet to host major age group meets included in the annual Pacific major meet calendar.
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Senior Meet Criteria
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Specifies facility, time standards, personnel, format, awards, and other criteria which clubs must meet to host senior meets included in the annual Pacific major meet calendar.
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Insurance
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Form
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Description
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Report of Occurrence Form
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USA Swimming Report of Occurrence form, to be completed for any accident at a meet, practice, or other team function. Includes instructions on how to submit the form.
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Additional Insured Endorsement
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This form will help you obtain an additional insured endorsement if your club's contract with a facility requires that they be named as an additional insured on your club's insurance policy. Follow this link for more information on requesting the certificate.
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Insurance Coverage
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USA Swimming offers, as a benefit of membership, insurance coverage to its members and member clubs to include General Liability and Excess Accident Medical coverage. Follow this link for the Insurance and Risk Management page on the USA Swimming web site, which includes more comprehensive information on coverage as well as links to appropriate forms.
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Teaching Racing Starts
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Form
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Description
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Safety page
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The forms you'll need to document your swimmers' proficiency in racing starts, along with related forms and information, can be found by following the link to our Safety page.
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Times Verification for non-USA Swimming Meets
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Form
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Description
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National Times Verification/Observed Meets
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Information on National Times Verification and Observed Meets.
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NTV Form A
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This form is to be used to request observation for verification purposes at YMCA, high school, collegiate or Masters meets that are not district, conference, league, or national championships.
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NTV Form B
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This form is to be used to request authorization for observation of high school, YMCA, collegiate, or Masters meets for verification purposes. If high school, the meet must be league or sectional championship; if collegiate, the meet must be in the qualifying progression for the season culminating championship.
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Income/Disbursement
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Form
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Description
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Spending Approval Request form
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This form is used as a template for a Board of Directors motion to seek the approval to spend a budget line item with an asterisk. All budget line items with an asterisk must receive BOD approval prior to spending the item. Please be aware that any contract, agreements, purchase orders or similar obligations equal to or greater than $5,000 must have two signatures and a copy must be reviewed by the Treasurer prior to signing.
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Request for Reimbursement/Check Request Form
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For requesting reimbursement from Pacific for items purchased, or payment from Pacific for services provided. (Note that tax identification number and current address must be provided before any payment for services provided to Pacific will be made.)
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Income Form
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For submitting Pacific Swimming income to Pacific's treasurer.
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Note that in order to view or print these files, you'll need Adobe Reader installed on your computer. You can download it from the Adobe web site.
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