Minnesota Masters

Sex * Female Male

Birth Date * (mm/dd/yyyy)

Phone

2018 U.S. Masters Swimming (USMS) Club/Team Affiliation
Club/Team	(Maximum of 5 alphanumeric characters)
Club/Team Name
Member Number	use all 10 digits, i.e. 3348-0000A Register for USMS \| Retrieve USMS Number

What Type of MN Masters National Team T-shirt would you like? *

Women's Short Sleeve Crew Neck

Women's Tank

Men's Short Sleeve Crew Neck

Men's Tank

T-Shirt Size *

X-Small

Small

Medium

Large

X-Large

XXL

(Extra Shirts can be ordered during Checkout. Great option for trading with other teams!)

What Relays are you Interested/Available to swim at Nationals? *

M/W 200 M.R.

Mixed 200 F.R.

M/W 200 F.R.

Mixed 200 M.R.

Not Interested

If you selected a Medley Relay, What stroke(s) do you prefer to swim.

Backstroke

Breaststroke

Butterfly

Freestyle

Any

Other

(Please indicate if there is a Stroke you will NOT Swim on a Relay)

Hotel Name/Location & Best way to Contact (Cell,Email,Facebook,etc..)

National Team Signup for 2018 SCY Nationals