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USA SWIMMING2019 ATHLETE REGISTRATION APPLICATION LSC: Niagara SwimmingPLEASE PRINT LEGIBLY COMPLETE ALL INFORMATION: LAST NAMELEGAL FIRST NAMEDATE OF BIRTH (MO/DAY/YR)PREFERRED NAMESEX (M/F)AGE(Bill,

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Are you a member is a form or questionnaire that determines membership eligibility in specific programs or organizations.

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