Washington Wetskins

Online Registration

Step 1 of 3

Biographical
Waiver
Payment
Receipt

Instructions To become a Washington Wetskins member, please complete this 2-step registration form.

On step 2 you will be asked for your credit card (Visa, MasterCard) information. 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 *

Female Male

Birth Date

Phones

Home

Work

Cell

Texting Cell

Same as Cell Number

Mobile provider

Add Another Texting Cell Number

Label

Add Another Email Address

Address

Country *

Street *

Street 2

City *

State

Zip Code *

USWP Number *

Exp. Date

(12/31/yyyy) USWP information/Sign-up

Left/Right-handed?

Left Right Both

Problem with this registration?