2027 Satellite Club Registration and Payment Form

2026 - 2027 NEW ENGLAND SWIMMING

SATELLITE CLUB RENEWAL & PAYMENT FORM

All satellite clubs must renew and pay for their yearly LSC membership through this form.

Head Coaches must be in good standing in order for us to register the club.

2027 LSC Satellite Fees to New England Swimming: $150

Club Name:

Club Code:

The internal code you would like us to use for your satellite? Such as "North", "RI", "NH"

Satellite City, State for team location

Website Information

Find your club on our neswim.com website and enter the information you would like displayed if it is different than what is posted

Satellite Website Address

Team Contact Name to be Displayed on the Website

First NameLast Name

Team Contact Email for Website

example@example.com

Team Contact Phone for Website (if desired)

Area CodePhone Number

Head Coach Name to be Displayed on the Website (if different from Club Contact)

First NameLast Name

Head Coach Email for Website

example@example.com

Head Coach Phone for Website

Area CodePhone Number

Please let us know if you have a USA Swimming LEVEL designation and what it is (ie: 1, 2, 3,4), a club excellence level (Bronze, Silver, Gold) and/or Safe Sport Recognized. We will post the appropriate symbol for your achievement(s) on the website.

For Our Contact Purposes

CLUB REGISTRAR NAME:

E-mail

Name of person completing this form:

Email of person to receive receipt

example@example.com

ATHLETE REP

List an athlete on your team who would like to be the Athlete Rep to help communicate between the athlete committee and your swimmers.

Name of Athlete Rep:

First NameLast Name

Best email for contacting them:

example@example.com

LSC Payment

Signature

My Products

2027 Satellite Fee$150.00

Quantity

Total $0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.