New T21 Swim Warrior's First Name
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New T21 Swim Warrior's Last Name
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Date of Birth
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MM
DD
YYYY
Type of Down syndrome
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Trisomy 21
Mosaic
Gender
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Male
Female
Swimmer's Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Swimmer's Phone
(###)
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Swimmer's Email
Parent/Guardian Name
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First Name
Last Name
Parent/Guardian Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Parent/Guardian Phone
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(###)
###
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Parent/Guardian Email
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Parent/Guardian Communication Opt In
I want to be invited to these USADSS communication methods.
USADSS Family Emails
USADSS Newsletter
USADSS Family Group Me
USADSS Private Family Facebook Group
Parent/Guardian 2 Name
First Name
Last Name
Parent/Guardian 2 Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Parent/Guardian 2 Phone
(###)
###
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Parent/Guardian 2 Email
Parent/Guardian 2 Communication Opt In
I want to be invited to these USADSS communication methods.
USADSS Family Emails
USADSS Newsletter
USADSS Family Group Me
USADSS Private Family Facebook Group
I am interested in a USADSS National Training Camp
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Yes
No
Type of Swimmer
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Competitive Swimmer
Artistic Swimmer
Both Competitive and Artistic
Recreational Swimmer
Are you swimming competively?
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Yes- Special Olympics Team
Yes - High School Team
Yes - USA Swimming Club
Yes - USA Artistic Swimming
Yes - US Masters Club
Yes - YMCA Club
Yes - Other
No - I need help finding a local swimming club
No - I just want to be a T21 Swim Warrior
Who is your primary coach?
USA Swimming Club
US Masters Swim Club
USA Artistic Swimming Club
High School Swim Team
Special Olympics Swim Team
Recreational Swim Team
Independent Coach
Other Swim Team
Parent
Primary Coach's Name
First Name
Last Name
Primary Coach's Email
Primary Coach's Phone
(###)
###
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US Masters Membership #
High School Swim Team Name
Special Olympics Area
I have questions about International T21 Swim Warrior Status
If you have been selected to the USA Down Syndrome National Swimming Team (Competitive or Artistic), or you are interested in submitting times for regional and world records, you must join and notify USADSS so that we can register the applicant as a USA Swimmer for both SUDS (Sports Union Down Syndrome) and the Down Syndrome International Swimming Organisation (DSISO).
The application process is included on the website for your convenience, but please just check the box if you would like have questions and would like USADSS to contact you.
Contact me about becoming an International T21 Swim Warrior
Media Release
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I hereby consent to and authorize the use and reproduction by USA Down Syndrome Swimming of any and all photographs, and other audiovisual materials (including video), taken of me/my son/daughter/ward for promotional, educational and any other use for the benefit of USA Down Syndrome Swimming, its mission and programs. Examples include: website, social media, news media, fundraising materials, etc.
Agree to Media Release
USADSS Code of Conduct
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IMPORTANT: All athletes need to read and agree to the Code of Conduct. (Link available on this page.)
I have explained the USADSS Code of Conduct to my child/athlete and they understand to the best of their ability. I agree that my child/athlete will be held accountable for their behavior as specified in the USADSS Code of Conduct.
Screening for AAI:
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Medical research has found evidence that 10-40% of people with Down syndrome have atlantoaxial instability (AAI). This causes risk of spinal cord compression possibility of injury.
USADSS requires that swimmers be examined for this condition, and a form completed and sent to JOIN@USADSS.org. If applicant has not been screened in the past, a Dive Start/AAI form is provided on this page. Please print and have your doctor sign, then email USADSS.
I will send evidence of AAI screening
I will pay USADSS Application Fee on following page
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Will pay with PayPal including processing fee
Will pay with check
Electronic Authorization
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I agree that this agreement may be electronically signed. I agree that the printed name appearing on this agreement is the same as my handwritten signature for the purposes of legal validity, enforceability, and admissibility.
Electronic Authorization
Athlete's Signature
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Parent/Guardian's Signature
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Date
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MM
DD
YYYY