College Club Swimming - Members
Online Registration
Will Henderson
: Step 1 of 3
Biographical
Payment
Review
Receipt
The Swimmer joining a "College Club Swim" program should fill out this form.
Verify the information below.
* Starred fields are required
First Name
*
Last Name
Henderson
Sex
*
Male
Need to update your Last Name or Sex? Send an email to
collegeclub@usmastersswimming.org
.
School
Elon University
Changing schools? Send an email to
collegeclub@usmastersswimming.org
.
Graduation Month/Year
Club
Elon Swim Club
Home Phone
Texting Cell
Mobile provider
Choose...
Alltel
AT&T
Boost
Cricket
Google Fi
MetroPCS
Nextel
Other
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Sprint
T-Mobile
Ting
TracFone
US Cellular
Verizon
Virgin
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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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Email
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Add Another Email Address
Will you compete in meets?
•
Yes
No
Are you the Club's paid coach?
•
Yes
No
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