ASSA Special Circumstances

Any swimmers participating in programs other than Triathalon, Waterpolo, Artistic Swimming, Underwater Hockey, I Can Swim Program, Junior Lifeguard Club, High School Swimming, Royal Life Saving Society Canada Swimming Lessons must complete and submit this form to the ASSA President for review.

Swimmer Information

Name

Date of Birth

Address

Parent Email

ASSA History

How many years swimming ASSA?

What club did you register with?

Club's Email

Unapproved Program History

How many years swimming ASSA?

Program/Club Name

Program/Club Name Email

How many meets per season
(if applicable)

What Events?

Highest calibre meet attended?

Describe the type of training received?

Where did you train?

# of hours training per week

List any other information pertinent to this request?