Novaquatics Masters

Online Registration

Step 1 of 3
Biographical Waiver Payment Receipt
Instructions To become a Nova Masters member, or to sign-up for a clinic or video analysis session, please complete this registration form. On page 2 you will be asked for your credit card information (Visa or Mastercard only) which is required for monthly & quarterly billing memberships, clinics, & lessons.


Membership in United States Masters Swimming (USMS) is required for insurance. The local chapter of USMS is Southern Pacific Masters Swimming (SPMS). Here is the link to join USMS first if you are not a current member USMS REGISTRATION PAGE.
* 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
Texting Cell number to receive texts Cell phone service provider
Email *
Street *
Street 2
City *
State*
ZIP *
2017 US 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
T-Shirt Size  (Adult)          
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 *
Additional Information
Please include name:

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