College Club Swimming
Online Registration
Zachary DeMeyere
: Step 1 of 3
Biographical
Payment
Payment
Receipt
Verify the information below.
* Starred fields are required
Club President Information
First Name
*
Last Name
*
University or College Name
Milwaukee School of Engineering
Work Phone
*
Texting Cell
Mobile provider
Choose...
Alltel
AT&T
Boost
Cricket
Google Fi
MetroPCS
Mint
Nextel
Other
Rogers
Sprint
T-Mobile
Ting
TracFone
US Cellular
Verizon
Virgin
Add Another Texting Cell Number
Club Email
*
Label
Email
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Email
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Email
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Email
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Email
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Add Another Email Address
Club Information
Country
*
US
College Club Swim Program Name
*
Raider Swimming
Club Abbreviation
*
Msoe
City
*
Milwaukee
State
*
WI
ZIP Code
*
53202
If the above information needs to be changed, email
[email protected]
.
Your club's Facebook page, if you have one:
Your club's website URL, if you have one:
Total Members in Club (competitive and non-competitive):
•
1-20
21-50
51+
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