Bellevue Club Swim Team Affiliate Application

Swimmer Information

Name(Required)

Age(Required)

Please enter a number from 0 to 100.

Birthday(Required)

Address(Required)

School

Grade

GPA (If Applicable)

Personal statement of intent for joining the BCST

Family Information

Parent/Guardian Information

Name

Phone Number

Contact Email

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Sibling Information

Name

Age

Applying for affiliate program?

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*Separate application required for each candidate

Swim Team Participation History

Current Swimming Club

Years of Competitive Swimming

Please enter a number from 0 to 20.

Fastest Qualifying Time Standard

Best Time in Each Event

100 yard Backstroke

100 yard Breastroke

100 yard Butterfly

100 yard Freestyle

500 yard Freestyle

Best Time, Continued

200 yard IM

400 yard IM

Outside Participation History

Other Sports Athlete Participates In

Sport

Organization

Years

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Academic and Community Service Involvement

Statement of Financial Situation

The Bellevue Club understands the financial hardship which can be associated with athlete’s ability to participate in competitive sports. While this section is optional, the financial situation of a family and the ability to join the Bellevue Club as a member will be taken into consideration when reviewing affiliate applications.

Please add any financial statements below:

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Hours

M-F:
SA:
SU:

5 AM – 11 PM
6 AM – 11 PM
6 AM – 9 PM

11200 Southeast Sixth Street,
Bellevue, WA 98004

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