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Applicant must be a member of USA Swimming and an LSC certified official. (PLEASE TYPE OR PRINT CLEARLY)Name: ___ LSC: ___ Address: ___ Home Phone: ___ City, State, Zip: ___Work Phone: ___ Email Address:
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The applicant must be a designated individual or entity that meets specific criteria set forth by the regulating authority.
Individuals or entities that meet the eligibility criteria defined by the relevant regulatory body are required to file the application.
To fill out the application, ensure you gather all required information, follow the provided instructions accurately, and submit the form along with any necessary documentation.
The purpose of the application is to determine eligibility and compliance with regulatory requirements for individuals or entities.
The application must report personal or corporate details, eligibility criteria, and any relevant financial or legal disclosures.
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