Central Oregon Masters Aquatics

Online Registration

Step 1 of 3
Biographical Waiver Payment Confirmation
Instructions:  To become a Central Oregon Masters Aquatics member, please complete this 2-step registration form.  On step 2 you will be asked for your credit card (Visa, MasterCard, Discover) information.  Please note:  Your credit card statement will show a charge by ClubAssistant.com Events.

Once you complete step 2 and submit the form, you are immediately eligible to participate.
* Starred fields are required
First Name *
Preferred (Nickname)
Middle Name
Last Name *
Create Password
Sex *  
Birth Date * (mm/dd/yyyy)
Phone
Home/Primary *
Work/Secondary
Cell/Other
Email
Street *
Street 2
City *
State *
ZIP *
2017 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
(If you don't want your cap we will save it for someone else!)

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