Virginia Swimming LC Zone Team Application
2019 VIRGINIA SWIMMING LONG COURSE ZONE TEAM APPLICATION

Swimmers wishing to be considered for the 2019 Virginia Long Course Zone Team must complete the application below.

APPLICATION DEADLINE: 9:00 pm, MONDAY, JULY 15, 2019.

No applications or fees will be accepted past the deadline of 9:00 pm, July 15, 2019.

Along with your application a $100.00 deposit must be made via PayPal at Virginia Swimming's online Payment Center and will be applied toward your expense for the meet. Swimmers failing to qualify for the team will have their deposit returned. If a swimmer is fully qualified by the criteria below and fails to complete final registration at their Championship meet, the deposit will be forfeited. Remember this is a commitment to participate if selected.

We will consider only those swimmers whose completed application and deposit have been received by the deadline for selection.

For an application to be considered complete:
1) Online Application completed by 9:00 pm, MONDAY, JULY 15, 2019
2) $100 Deposit received by 9:00 pm, MONDAY, JULY 15, 2019

Trip cost (excluding uniforms) will be $475.00

Qualifying Criteria for Summer EZ LC Zone Team:
Top 2 in any individual event-according to VSI Top 10 Zone List
or
Attain (4) Qualifying Times
Times must be achieved during the qualifying period, 2018 Summer Zones through 2018 LC Senior and Age Group Championships

Zone Age Groups:
9-10
11-12
13-14
15 - 18

Any questions regarding the application process should be directed to Virginia Swimming Zone Team Manager: Maureen Tolliver: zoneteammgr@virginiaswimming.org

Untitled Title
Swimmer's First Name *
Your answer
Swimmer's Last Name *
Your answer
Male/ Female *
Swimmer's Date of Birth *
MM
/
DD
/
YYYY
Swimmer's Age Group as of August 7, 2019 *
What age group will you be competing in on the first day of meet?
Name of Parent/ Guardian *
Please provide the Name of the person who will submitting payment.
Your answer
Family/ Household Primary Email Address *
Please use an email that is checked daily as all Team communication will occur through this email account
Your answer
Family Cell # where parent/guardian can be reached *
Your answer
Swimmer's Street Address
Your answer
Swimmer's City/ Town
Your answer
Swimmer's Zip Code
Your answer
HOME Swim Club/ Team ( i.e. NOVA, CGBD, PSDN, etc) *
Your answer
HOME Swim Club/ Team Coach email *
Your answer
How Many QT's does athlete currently have?
Swimmer Achievements
Please list current LCM Top Times for up to 6 events. Include The name of the meet, date and location. Please include those events for which you are already qualified. Ex: 100 Free: 1:03.19, PSDN May Classic, May 4, 2019.
Your answer
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