Wisconsin Senior Olympics

Step 1 of 3

Please fill out the following information to begin the registration process.

* Starred fields are required

First Name *

Middle Name

Last Name *

Sex *

Female Male

Birth Date *

Home *

Work

Cell

Country *

Street *

Street 2

City *

State *

ZIP Code *

2024 U.S. Masters Swimming (USMS)

USMS Club

()

Member ID

Use all 10 digits, i.e. 3348-0000A
Register for USMS | Retrieve USMS ID

T-Shirt Size *

[Adult]

XXL

Ethnicity

White

African American

Asian

Native American

Hispanic

Other

Emergency Contact Name •

Emergency Phone •