College Club Swimming
Online Registration
AL Matysek
: 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
Selby College
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
Label
Email
Label
Email
Label
Email
Label
Email
Label
Add Another Email Address
Club Information
Country
*
US
College Club Swim Program Name
*
Selby Swim Club
Club Abbreviation
*
Ssc
City
*
Sarasota
State
*
FL
ZIP Code
*
33333
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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