Bellevue Club Swim Team 2024-2025 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

Freestyle

Backstroke

Breastroke

Butterfly

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:

Hours

M-F:
SA:
SU:

5 A.M. – 11 P.M.
6 A.M. – 11 P.M.
6 A.M. – 9 P.M.

11200 Southeast Sixth Street,
Bellevue, WA 98004

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