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2023 USA Swimming National Diversity Select Camp- Application
May 4th-7th, 2023 at the Olympic & Paralympic Training Center in Colorado Springs, Colorado.
*Dates/Location subject to change due to COVID-19 regulations. Please note selection to the National Diversity Select Camp does not guarantee attendance in the event that the camp is cancelled. Applications must be received on or before February 10th. 2023 by 5PM MT. Athletes will be notified of their selection by March 3rd, 2023.
If you have any questions regarding the camp application and selection process, please reach out to Kristin Alfano, Manager of Program Operations, at kalfano@usaswimming.org.
First Name:
*
Middle Name or Initial:
Last Name:
*
Preferred Name:
Pronouns:
Athlete Email Address:
*
Street Address:
*
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:
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Athlete Phone Number:
*
USA Swimming Member ID:
*
Date of Birth:
*
+
Gender:
*
Please list any medication or food allergies:
T-Shirt Size:
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Small
Medium
Large
X Large
XX Large
Club Team Name:
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LSC:
*
Parent / Legal Guardian Name:
*
Parent / Legal Guardian Email Address:
*
Parent / Legal Guardian Phone Number:
*
Parent / Legal Guardian #2 Name:
Parent / Legal Guardian #2 Email Address:
Parent / Legal Guardian #2 Phone Number:
In 2023, the coach of a selected athlete is also invited to attend the National Diversity Select Camp in Colorado Springs, CO. The coach will be provided up to $200 in airfare reimbursement from USA Swimming. Housing, meals and local transportation for the coach will be provided by USA Swimming.
Name of the coach to be invited:
*
Coach's Email:
*
Coach's Phone Number:
*
National Diversity Select Camp Eligibility: Athletes must represent an underrepresented community and/or an ethnically underrepresented population that is less than 10% of the current USA Swimming membership. These populations can include African American/Black, Hispanic/Latinx, Asian or Pacific Islander, Native American and others. Other athletes may be accepted if they represent another underrepresented demographic (e.g. LGBTQ+).
Ethnicity:
*
African American / Black
Hispanic / Latinx
Asian / Pacific Islander
Native American
Other (please explain)
Other (please explain)
Signature below testifies to the eligibility of the athlete:
Athlete Signature:
*
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