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2019 NVSL - USA Swimming Reciprocity Request
Use this Form to request credit for your USA Swimming Stroke & Turn or Starter Certification for the 2019 NVSL Season. For more information, please see
Name *
Email *
Phone number *
Your 2019 NVSL Team (where your Attendance Record will be entered) *
Your NVSL Team Rep for 2019 *
Your 2019 NVSL Team Rep's Email *
Your PVS Team (if no Team, enter 'Unattached') *
Your PVS Certifications (Select all that apply) *
Date of Latest USA Swimming Certification or Recertification *
To help us Validate your Request, consider uploading a copy of your USA Swimming Membership Card. For details on how to print your Membership Card, go to
I am requesting NVSL reciprocity for: (Select All that Apply. There is no NVSL reciprocity for CJ or Referee) *
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