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USA SWIMMING2019 PREMIUM ATHLETE REGISTRATION APPLICATION LSC: MARYLANDPLEASE PRINT LEGIBLY l COMPLETE ALL INFORMATION: LAST NAMELESS FIRST NAMEPREFERRED NAMED ATE OF BIRTH (MO/DAY/YR)SEX (M/F)MIDDLE
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The 43118312019 application - y-r is used for filing specific information with the relevant authorities.
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