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2024 LSC Select Camp
Application
Camp Logistics
LSC:
*
Date of Camp:
*
Expected Number of Athletes:
*
Age of Athletes:
*
Camp Location (Facility Name):
*
Does your camp have a specific theme?
*
Yes
No
What is the theme?
*
Camp Director
Name:
*
USA Swimming Membership ID:
*
T-Shirt Size (S, M, L, XL, or 2XL):
*
Email Address:
*
Confirm email address-
*
Phone:
*
Shipping Information:
Street Address (no PO boxes)
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Head Coach:
First and Last Name:
*
USA Swimming Membership ID:
*
T-Shirt Size (S, M, L, XL, or 2XL):
*
Email Address:
*
Confirm email address-
*
Phone:
*
Assistant Coaches
How many assistant coaches will be working at the camp?
*
0
1
2
3
4
5
Assistant Coach #1 Name:
*
USAS Membership ID:
*
T-Shirt Size (S, M, L, XL, 2XL):
*
Assistant Coach #2 Name:
*
USAS Membership ID:
*
T-Shirt Size:
*
Assistant Coach #3 Name:
*
USAS Membership ID:
*
T-Shirt Size:
*
Assistant Coach #4 Name:
*
USAS Membership ID:
*
T-Shirt Size:
*
Assistant Coach #5 Name:
*
USAS Membership ID:
*
T-Shirt Size:
*
Athlete T-Shirts
# of shirts per size (up to 50 total)
Youth-M
Youth-L
Adult-S
Adult-M
Adult-L
Adult-XL
Adult-XXL
Additional T-Shirts Requested and Sizes (only if camp numbers exceed 50, $6 per person total):
Additional Comments or Requests: