Long Beach State University Masters

Online Registration

Step 1 of 3
Biographical Waiver Payment Confirmation
Welcome to Long Beach State University Masters!

Instructions:

1) To become a Long Beach State University Masters member, you must first register with United States Masters Swimming. Please visit www.USMS.org to register. (Team name: Long Beach State Masters, Abbreviation: LBSU)

2) Complete and submit the following online registration form.

* 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
Employer (Name of the company)
Profession
Street   Street 2
City   State   ZIP
Emergency Contact (Parent, Spouse, etc)
Name *   Relation
Phone *
Name 2 *   Relation 2
Phone 2 *

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