LOSC New Swimmer Tryout Application
Please submit this form in order to be considered for a tryout with our swim club.  
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Swimmer's First Name *
Middle name
Swimmer's Last Name *
Swimmer's Date of Birth *
MM/DD/YEAR
Current Age *
Gender *
Parent Name(s) *
Parent Email address *
please type carefully as this is our primary means of communication
Parent Email phone *
Where do you live? *
Has this swimmer participated in our Pre-Swim Program? *
Is there another member of your family that swims with LOSC?
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Has your swimmer been (or currently is) on another swim team?
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if yes, what team?
if yes, is your swimmer currently registered with USA Swimming?
Clear selection
Is your swimmer a US citizen? *
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