College Club Swimming - Members - Online Registration

The Swimmer joining a "College Club Swim" program should fill out this form.

Verify the information below.

* Starred fields are required

First Name *

Last Name

Rerak

Sex *

Male

Need to update your Last Name or Sex? Send an email to collegeclub@usmastersswimming.org.

School

UW Platteville

Changing schools? Send an email to collegeclub@usmastersswimming.org.

Graduation Month/Year

Club

UW Platteville Swimclub

Home Phone

Texting Cell

Mobile provider

Email *

Will you compete in meets? •

Yes

Are you the Club's paid coach? •

Yes