Stroke and Turn Clinic Information Form

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Stroke and Turn Clinic Information Form

Filling out this form will allow the Illinois Swimming Official's Committee to provide you adequate support to become a stroke and turn judge

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* Indicates required question

First Name as it appears on USA Swimming membership card? *

Your answer

Last Name as it appears on USA Swimming membership card? *

Your answer

Email address? *

Your answer

Mailing Address? *

Your answer

Phone number?

Your answer

Club Affiliation? Please put UN for no club or unattached. *

Your answer

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