Moscow Chinooks Masters Swim Team

Online Registration

Welcome to Moscow Chinooks Masters Swim Team!  We hope you can attain your swimming and fitness goals through our program. Moscow Chinook Masters is a year round program with morning workouts held three days a week. Check with the coach for the current workout schedule and please read your email for up-to-date schedule information.

1- To become a Moscow Chinooks Masters member, please complete this 2-step registration form.

2- All Moscow Chinook Masters members are required to be registered with United States Masters Swimming (USMS) in order to participate in club activities. Please see the Moscow Chinook Masters coach for a current USMS registration form or visit usms.org/reg to register in the Inland NW LMSC. Visit usms.org for a list of member benefits!
* Starred fields are required
First Name *
Preferred (Nickname)
Middle Name
Last Name *
Create Password
Sex *  
Birth Date * (mm/dd/yyyy)
Phone
Home
Work
Cell *
Texting Cell Mobile provider Same as Cell Number
Add Another Texting Cell Number
Email *
Add Another Email Address
Street *
Street 2
City *
State *
ZIP *
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
Emergency Contact (Parent, Spouse, etc)
Name *   Relation
Phone *
Name 2 *   Relation 2
Phone 2 *

(i.e. family history of medical conditions)


Problem with this registration?

Powered by ClubAssistant.com   ©2003-2018   Page execution time: 25 ms