MEMO Swim Team

Registration

Step 1 of 4

400 Kick for Time - A USMS Postal Event

Biographical Waiver Fees Payment Confirmation
* Starred fields are required
First Name *
Preferred (Nickname)
Middle Name
Last Name *
Sex *  
Birth Date (mm/dd/yyyy)
Phone
Home
Work
Cell
Email Label
Add Another Email Address
Street
Street 2
City
State
ZIP
2017/2018 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

Problem with this registration?

Powered by ClubAssistant.com   ©2003-2017   Page execution time: 118 ms