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2013 Registration & Membership Forms
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Form
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Description
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2013 Year-Round Athlete Pacific/USA Swimming Registration Application
(valid through Dec. 31, 2013)
2013 Summer Season Athlete Pacific/USA Swimming Registration Application
(valid Apr. 6 through Sept. 2, 2013)
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The 2013 year-round registration form is valid through Dec. 31, 2013. The fee for 2013 year-round registration is $65.
The 2013 summer season registration form is valid from Apr. 6 through Sept. 2, 2013. The fee for 2013 summer season registration is $45.
The registration forms may be downloaded and copied, but please trim the page as requested before submitting it.
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Transfer Form
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The transfer form is for use by athlete members when transferring their affiliation from one club to another within Pacific or when transferring into Pacific from another LSC. (Follow this link for more information about the transfer process)
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2013 Pacific/USA Swimming Non-Athlete Registration Application
(complete and return both pages)
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For use by coaches, officials, meet directors, and other non-athletes to join or to renew their membership.
Coaches, follow this link for a list of organizations providing approved courses in first aid, CPR, and safety training that you can use to obtain the certifications necessary to obtain or renew your coach membership in Pacific/USA Swimming. Also, here is a list of local safety training providers.
It is necessary to complete a USA Swimming background check in order to become a non-athlete member of Pacific/USA Swimming. The following link will take you to a page on the USA Swimming website with details about the background check requirements and a link to initiate the background check process. In addition, all non-athlete members, including officials, are required to complete an online athlete protection training course. The course is available through the USA Swimming website at this link.
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2013 Pacific/USA Swimming Club Application Form The fee for 2013 club membership is $225 for year-round clubs and $125 for summer season clubs.
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For use by prospective clubs to join or by current member clubs to renew their membership.
Clubs may join as year-round or seasonal. Year-round membership is valid through Dec. 31, 2013, while summer season club registration is valid from April 6 through Sept. 2, 2013. Please note that the application form must be filled out completely.
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If you are starting a new club, there are a number of other forms you need to complete and a number of other issues you need to consider. You can find links to these forms and more information about the requirements for starting a club on the Starting a New Club page on the USA Swimming web site.
In addition to competing a club membership application, you will need a coach who is a member of USA Swimming, has passed USA Swimming's background check, and holds valid CPR, first aid, and safety training certifications. In addition, you will need registered swimmers. Every coach (paid or volunteer) who is on the deck at a club workout or coaching at a meet must be a current coach member of USA Swimming. Your club must renew its membership each calendar year, and as part of this renewal process, your coaches must submit proof of current CPR, first aid, and safety training certifications.
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2013 Pacific/USA Swimming Organizational Member Application Form
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For use by prospective organizational members to join or by current organizational members to renew their membership.
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Athlete and Coach Travel Support
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Form
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Description
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Travel Support Overview
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This document provides background on Pacific's travel support program for athletes and coaches, and includes eligibility details.
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Athlete/Coach Travel Support Request Form
(PDF version) | (Excel version)
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This form is to be used to apply for reimbursement for athlete/coach travel to covered meets. Travel support request forms for years prior to 2013 are obsolete.
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Travel Policy Guidelines and Recommendations
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Includes a generic template travel policy for clubs approved by USA Swimming Board of Directors. All clubs seeking travel assistance through Pacific Swimming must prepare a written travel policy and must have a hard copy of their travel policy on file with Pacific Swimming Office-Membership, 1374 Lupine Court, Concord, CA. 94521, office-membership@pacswim.org. Any club that has not completed this task with Pacific Swimming will not qualify for travel reimbursement offered through Pacific Swimming's Disbursement Policy.
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Times Verification for non-USA Swimming Swim Meets
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Form
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Description
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Requirements for Observed Swims
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Important information on procedures for observed meets. Please note that this document contains the address to which requests for observation (Form A or Form B) and related documentation should be sent.
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Request for Observation -- Form A
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This form is to be used to request observation for time verification purposes for high school, collegiate, YMCA, or Masters meets that are not district, conference, league, or national championships.
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Request for Observation -- Form B
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This form is to be used to request authorization for observation of high school, YMCA, collegiate, or Masters meets for verification purposes. If high school, the meet must be a league or sectional championship; if collegiate, the meet must be in the qualifying progression for the season culminating championship.
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Relay Leadoff Times Request Form
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This form is to be used to log relay leadoff splits. A copy must be submitted to the Pacific Swimming Office after the meet.
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DQ Log
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This form is to be used to keep a log of all USA Swimming stroke and turn violations. A copy must be submitted to the Pacific Swimming Office after the meet.
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Income/Disbursement
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Form
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Description
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Spending Approval Request form
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This form is used as a template for a Board of Directors motion to seek the approval to spend a budget line item with an asterisk. All budget line items with an asterisk must receive BOD approval prior to spending the item. Please be aware that any contract, agreements, purchase orders or similar obligations equal to or greater than $5,000 must have two signatures and a copy must be reviewed by the Treasurer prior to signing.
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Request for Reimbursement/
Check Request Form
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For requesting reimbursement from Pacific for items purchased, or payment from Pacific for services provided. (Note that tax identification number and current address must be provided before any payment for services provided to Pacific will be made.)
Note: if you do not see a Pacific logo in the upper left corner when you print this page, try printing again, this time on the Print command page setting the page to scale to shrink to the printable area.
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W-9 Form
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Must be submitted with Request for Reimbursement form when payment for services provided to Pacific will be made directly to a vendor.
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Income Form
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For submitting Pacific Swimming income to Pacific's treasurer.
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Teaching Racing Starts
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Form
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Description
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Safety page
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The forms you'll need to document your swimmers' proficiency in racing starts, along with related forms and information, can be found by following the link to our Safety page.
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Note that in order to view or print these files, you may need Adobe Reader installed on your computer. You can download it from the Adobe web site.
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