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.

Sign in to Google to save your progress. Learn more
Email *
Name *
(Chaperone Name)
Club *
Cell # *
xxx-xxx-xxxx
Swimmer's Name *
If more than one swimmer, please list all
Age Group *
Age group/gender you prefer to chaperone (check any that apply).
Required
Describe briefly why you would like to chaperone *
USAS Non-Athlete? *
Are you a currently registered 2018 non-athlete member of USA Swimming?
Shirt Size *
Where will you get the bus *
Room Preference *
10 & Under Chaperones - please select "own room".   11 & over chaperons - please select either shared room (included) or own room ($340).  
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Allegheny Mountain Swimming, Inc.. Report Abuse