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2019 LC Zone Team Chaperone Application
If you are interested in being a Chaperone for the AMS Zone Team, please complete the application below. Once the team is finalized, chaperones will be selected based on the best fit for the team.
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* Indicates required question
Email
*
Your email
Name
*
(Chaperone Name)
Your answer
Club
*
Your answer
Cell #
*
xxx-xxx-xxxx
Your answer
Swimmer's Name
*
If more than one swimmer, please list all
Your answer
Age Group
*
Age group/gender you prefer to chaperone (check any that apply).
10 & Under Girls
10 & Under Boys
11 - 12 Girls
11 - 12 Boys
13 - 14 Girls
13 - 14 Boys
15 - 18 Girls
15 - 18 Boys
Required
Describe briefly why you would like to chaperone
*
Your answer
USAS Non-Athlete?
*
Are you a currently registered 2018 non-athlete member of USA Swimming?
Yes
No
Shirt Size
*
Small
Medium
Large
X-Large
XXL
XXXL
Where will you get the bus
*
South/West - Bridgeville
North - Cranberry
East - Monroeville
Room Preference
*
10 & Under Chaperones - please select "own room". 11 & over chaperons - please select either shared room (included) or own room ($340).
Shared Room
Own room ($340)
A copy of your responses will be emailed to the address you provided.
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