New TSA Rep Registration 2023

Personal Information Which Club do you Represent Payment

* Indicates a required field

Parent/Guardian Information

At least one parent/guardian registration is required. New accounts will be sent an email confirmation message with instructions to set up a password.
At least one parent/guardian email address must be provided. Check the boxes to indicate which parent/guardians should receive team-wide emails.
Previously registered parents/guardians cannot be edited during registration. Please contact your team's admin to request edits.

First Name *	Email Address * Required for login
	Send team-wide email to this address	Remove
	Send team-wide email to this address	Remove
+ Add another parent/guardian

Home Address

Address *

City *

State/Province *

Zip/Postal Code *

Subdivision *

Primary Phone *

TSA Rep or Other Committee Member

What is your role in your Swim Club. *